Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD PHYSICIAN ASSOCIATES II
Other names
McLeod Primary Care Bennettsville
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD PHYSICIAN ASSOCIATES II
Authorized official
SAMUEL FULTON ERVIN III (SENIOR VP AND CFO)
(843) 777-2910
Entity
Organization
Contact information
Practice address
1040 MARLBORO WAY STE 1, BENNETTSVILLE, SC 29512-2494
(843) 479-5890
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7162
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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