Organization
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Primary Care Carolina Forest 2
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
SAMUEL FULTON ERVIN III (SR VP & CFO)
(843) 777-2910
Entity
Organization
Contact information
Practice address
107 MCLEOD HEALTH BLVD STE 102, MYRTLE BEACH, SC 29579-4477
(843) 839-1201
(843) 646-8755
Mailing address
PO BOX 601743, CHARLOTTE, NC 28260-1743
(843) 646-8340
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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