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MCLEOD PHYSICIAN ASSOCIATES II NPI 1629041009


NPI Information

NPI: 1629041009
Provider Name: MCLEOD PHYSICIAN ASSOCIATES II

Doing Business As: MCLEOD FAMILY MEDICINE - HEALTH AND FITNESS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2437 WILLWOOD DR
FLORENCE, SC
ZIP 29501
Phone: (843) 777-3100
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 1629041009. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mcleod Family Medicine - Health And Fitness.

The provider's business location address is:

2437 WILLWOOD DR
FLORENCE, SC
ZIP 29501-904
Phone: (843) 777-3100
Fax: (843) 777-3111

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 enumeration date for this NPI number is 2/8/2006 and was last updated on 6/7/2022.


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
1207QS0010XFamily MedicineSports MedicineNo
2363LF0000XNurse PractitionerFamilyNo
3207Q00000XFamily 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
1GP2343MEDICAIDSOUTH 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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