McLeod Regional Medical Center Of The Pee Dee, INC
Internal Medicine, Rheumatology in Myrtle Beach, SC. Organization (NPI-2).
NPI number1407613987
StatusActive
Last updated in NPPESMar 1, 2024
Details
- NPI
- 1407613987
- Entity type
- Organization (NPI-2)
- Legal business name
- McLeod Regional Medical Center Of The Pee Dee, INC
- Organization subpart
- Yes
- Enumeration date
- Mar 1, 2024
- Certification date
- Feb 29, 2024
- Last updated
- Mar 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RR0500X | Internal Medicine, Rheumatology | – | – | Yes |
Other names
- McLeod Rheumatology Seacoast (Doing Business As)
Practice location
115 McLeod Health Blvd.Suite 201
Myrtle Beach, SC 29579-4477
Phone 843-366-3060 · Fax 843-366-3069
Mailing address
Po Box 601743Charlotte, NC 28260-1743
Phone 843-366-3060 · Fax 843-777-7102
Authorized official
Samuel Fulton Ervin
Sr Vp & Cfo
8437772910
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