Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Plastic and Reconstructive Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
KENNETH D. BEASLEY (SENIOR VP)
(843) 777-7010
Entity
Organization
Contact information
Practice address
401 E CHEVES ST STE 302, FLORENCE, SC 29506-2615
(843) 777-7255
(843) 679-6883
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 679-6881
(843) 679-6883
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5918
—
SC
Enumeration date
04/17/2012
Last updated
05/24/2022
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