Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
Eagerton Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
DANE P FICCO (SENIOR VICE PRESIDENT)
(843) 777-7010
Entity
Organization
Contact information
Practice address
200 E HOSPITAL ST, MANNING, SC 29102-3160
(803) 433-0439
(843) 433-9840
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7487
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
SC
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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