Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
KENNETH D. BEASLEY (SENIOR VICE PRESIDENT)
(843) 777-7010
Entity
Organization
Contact information
Practice address
800 E CHEVES ST STE 480-B, FLORENCE, SC 29506-2650
(843) 432-1880
(843) 432-1022
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7162
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
SC
208100000X
Physical Medicine & Rehabilitation Physician
—
SC
363AS0400X
Surgical Physician Assistant
—
SC
Other
Enumeration date
09/09/2016
Last updated
06/10/2022
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