McLeod Physician Associates II
Pediatrics in Dillon, SC. Organization (NPI-2).
NPI number1346344934
StatusActive
Last updated in NPPESJun 3, 2022
Details
- NPI
- 1346344934
- Entity type
- Organization (NPI-2)
- Legal business name
- McLeod Physician Associates II
- Organization subpart
- Yes
- Enumeration date
- Sep 12, 2006
- Certification date
- Jun 3, 2022
- Last updated
- Jun 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 261QR1300X | Clinic/Center, Rural Health | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Other names
- McLeod Pediatrics - Dillon (Doing Business As)
Practice location
705 N 8th AveSte 3a
Dillon, SC 29536-2549
Phone 843-774-6091 · Fax 843-841-3814
Mailing address
Po Box 3239Florence, SC 29502-3239
Phone 843-774-6091 · Fax 843-841-3814
Authorized official
Kenneth D. Beasley
Senior Vice President
8437777010
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