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MCLEOD PHYSICIAN ASSOCIATES II NPI 1578536033


NPI Information

NPI: 1578536033
Provider Name: MCLEOD PHYSICIAN ASSOCIATES II

Doing Business As: JETER & SKINNER FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 42D0251605

Address:
800 E CHEVES ST STE 200
FLORENCE, SC
ZIP 29506
Phone: (843) 662-1533
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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 1578536033. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jeter & Skinner Family Practice.

The provider's business location address is:

800 E CHEVES ST STE 200
FLORENCE, SC
ZIP 29506-651
Phone: (843) 662-1533
Fax: (843) 679-7273

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 42D0251605 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 6/3/2022.


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
1363LF0000XNurse PractitionerFamilyNo
2207Q00000XFamily 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
1GP1650MEDICAIDSOUTH CAROLINA

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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