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MCLEOD PHYSICIAN ASSOCIATES II NPI 1619949435


NPI Information

NPI: 1619949435
Provider Name: MCLEOD PHYSICIAN ASSOCIATES II

Doing Business As: PEDIATRIC ASSOCIATES OF FLORENCE

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 42D0251611

Address:
204 E CHEVES ST
FLORENCE, SC
ZIP 29506
Phone: (843) 777-5065
Get Directions

MCLEOD PHYSICIAN ASSOCIATES II is a pediatrics in Florence, SC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MCLEOD PHYSICIAN ASSOCIATES II NPI is 1619949435. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pediatric Associates Of Florence.

The provider's business location address is:

204 E CHEVES ST
FLORENCE, SC
ZIP 29506-604
Phone: (843) 777-5065
Fax: (843) 662-2474

The provider's authorized official is Jeff Murrell .
The authorized official title is Regional Practice Manager/avp and has the following contact phone number (843) 777-7093.

The CLIA number assigned to this NPI record is 42D0251611 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2006 and was last updated on 3/27/2009.


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
1363LP0200XNurse PractitionerPediatricsNo
2208000000XPediatricsYes

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=========056OTHERSOUTH CAROLINABLUE CHOICE
2GP1655MEDICAIDSOUTH CAROLINA
3=========OTHERSOUTH CAROLINABLUE CROSS BLUE SHIELD

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: 11/14/2023

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