Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
Family Life Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
DANE P. FICCO (SR. VP)
(843) 777-7000
Entity
Organization
Contact information
Practice address
7209 HIGHWAY 90, SUITE C, LONGS, SC 29568-6236
(843) 390-1800
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7122
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
SC
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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