Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
Pee Dee Surgical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
MR. KENNETH D. BEASLEY (SR VP)
(843) 777-7010
Entity
Organization
Contact information
Practice address
800 E CHEVES ST, STE 260, FLORENCE, SC 29506-2652
(843) 665-7941
(843) 665-1257
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 665-7941
(843) 665-1257
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1701
—
SC
Enumeration date
07/17/2006
Last updated
06/07/2022
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