Organization
MCLEOD MEDICAL CENTER DILLON
Active
Parent organization
MCLEOD HEALTH
Other names
MCLEOD DILLON EMERGENCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
SAMUEL FULTON ERVIN III (SR VP AND CFO)
(843) 777-2910
Entity
Organization
Contact information
Practice address
301 E JACKSON ST, DILLON, SC 29536-2509
(843) 774-4111
(843) 777-5035
Mailing address
PO BOX 100567, FLORENCE, SC 29501-0567
(843) 777-5802
(843) 777-5035
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1977
—
SC
Enumeration date
05/24/2006
Last updated
03/02/2020
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