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Organization

MCLEOD PHYSICIAN ASSOCIATES II

Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Primary Care Associates
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
101 S RAVENEL ST, SUITE 300, FLORENCE, SC 29506-2618
(843) 777-7490
(843) 777-7480
Mailing address
PO BOX 601743, CHARLOTTE, NC 28260-1743
(843) 777-7120
(843) 777-7102

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363LA2100X
Acute Care Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
04/03/2015
Last updated
05/26/2023
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