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Organization

MCLEOD PHYSICIAN ASSOCIATES II

Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Loris Seacoast Surgery
Organization subpart
Yes

Provider details

NPI number
Legal business name
MCLEOD HEALTH
Authorized official
DANE FICCO (SENIOR VICE PRESIDENT)
(843) 777-7010
Entity
Organization

Contact information

Practice address
690 SUNSET BLVD N, SUITE 109, SUNSET BEACH, NC 28468-5332
(843) 399-9774
(843) 399-8657
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7120
(843) 777-7102

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
NC

Other

Enumeration date
06/09/2016
Last updated
06/09/2016
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