Individual
BRUCE MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 674-5099
Mailing address
513 E CRICKLEWOOD DR, FLORENCE, SC 29505-5104
(843) 615-2962
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
P13111
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P13111
SCLRR
SC
Enumeration date
01/26/2021
Last updated
01/26/2021
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