Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Pediatric and Adult Endocrinology
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 ST STE 300, FLORENCE, SC 29506-2772
(843) 777-5701
(843) 777-7320
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 646-8921
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
09/29/2021
Last updated
06/07/2022
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