Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Pediatric Subspecialties
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
101 WILLIAM H. JOHNSON STREET, STE. 400, FLORENCE, SC 29506-2772
(843) 777-7300
(843) 777-7311
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7300
(843) 777-7311
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
=========
BLUE CHOICE
SC
05
—
GP3648
—
SC
Enumeration date
02/14/2006
Last updated
06/03/2022
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