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MCLEOD PHYSICIAN ASSOCIATES II NPI 1356314819


NPI Information

NPI: 1356314819
Provider Name: MCLEOD PHYSICIAN ASSOCIATES II

Doing Business As: PEE DEE REGIONAL FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 42D0251498

Address:
101 WILLIAM H. JOHNSON STREET
STE 350
FLORENCE, SC
ZIP 29506
Phone: (843) 777-6065
Get Directions

MCLEOD PHYSICIAN ASSOCIATES II is a family medicine in Florence, 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 1356314819. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pee Dee Regional Family Medicine.

The provider's business location address is:

101 WILLIAM H. JOHNSON STREET
STE 350
FLORENCE, SC
ZIP 29506-775
Phone: (843) 777-6065
Fax: (843) 777-6069

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

The CLIA number assigned to this NPI record is 42D0251498 - public health laboratories with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 1/7/2019.


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 MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERSOUTH CAROLINABLUE CROSS BLUE SHIELD
2GP1642MEDICAIDSOUTH CAROLINA
3=========OTHERSOUTH CAROLINABLUE CHOICE

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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