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MCLEOD PHYSICIAN ASSOCIATES II NPI 1083067714


NPI Information

NPI: 1083067714
Provider Name: MCLEOD PHYSICIAN ASSOCIATES II

Doing Business As: MCLEOD PRIMARY CARE CLARENDON

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 42D0683879

Address:
22 BOZARD ST
MANNING, SC
ZIP 29102
Phone: (803) 435-8828
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MCLEOD PHYSICIAN ASSOCIATES II is an internal medicine in Manning, SC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MCLEOD PHYSICIAN ASSOCIATES II NPI is 1083067714. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mcleod Primary Care Clarendon.

The provider's business location address is:

22 BOZARD ST
MANNING, SC
ZIP 29102-935
Phone: (803) 435-8828
Fax: (803) 435-2239

The provider's authorized official is Dane P. Ficco .
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 42D0683879 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/18/2016 and was last updated on 7/18/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal 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: 5/5/2024

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