Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Family Medicine - Health and Fitness
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
2437 WILLWOOD DR, FLORENCE, SC 29501-3904
(843) 777-3100
(843) 777-3111
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-3100
(843) 777-3111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2343
—
SC
Enumeration date
02/08/2006
Last updated
06/07/2022
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