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MCLEOD PHYSICIAN ASSOCIATES II NPI 1326594995


NPI Information

NPI: 1326594995
Provider Name: MCLEOD PHYSICIAN ASSOCIATES II

Doing Business As: MCLEOD PRIMARY CARE CAROLINA FOREST 1

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 42D2251996

Address:
101 MCLEOD HEALTH BLVD STE 201
MYRTLE BEACH, SC
ZIP 29579
Phone: (843) 646-8001
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MCLEOD PHYSICIAN ASSOCIATES II is a family medicine in Myrtle Beach, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MCLEOD PHYSICIAN ASSOCIATES II NPI is 1326594995. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mcleod Primary Care Carolina Forest 1.

The provider's business location address is:

101 MCLEOD HEALTH BLVD STE 201
MYRTLE BEACH, SC
ZIP 29579-477
Phone: (843) 646-8001
Fax: (843) 646-8002

The provider's authorized official is Kenneth D. Beasley .
The authorized official title is Senior Vice President and has the following contact phone number (843) 777-7010.

The CLIA number assigned to this NPI record is 42D2251996 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2016 and was last updated on 11/30/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineSOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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