Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Dermatology Associates
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
401 E CHEVES ST STE 302, FLORENCE, SC 29506-2615
(843) 777-9360
(843) 777-9361
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7120
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
SC
207ND0101X
MOHS-Micrographic Surgery Physician
—
SC
207ND0900X
Dermatopathology Physician
—
SC
Other
Enumeration date
06/13/2017
Last updated
01/18/2018
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