Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Pediatrics Dillon: Dr. Lewis
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
DANE FICCO (SR VP)
(843) 777-7000
Entity
Organization
Contact information
Practice address
207 E MONROE ST, DILLON, SC 29536-2557
(843) 774-6091
(843) 841-3814
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30392
SC
363LF0000X
Family Nurse Practitioner
3943
SC
Other
Enumeration date
12/15/2009
Last updated
12/17/2009
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