Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
KENNETH D. BEASLEY (SENIOR VICE PRESIDENT)
(843) 777-7010
Entity
Organization
Contact information
Practice address
540 PHYSICIANS LN, SUMTER, SC 29150-3370
(803) 883-5171
(803) 305-1814
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7133
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5569
—
SC
Enumeration date
11/23/2010
Last updated
06/07/2022
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