MCLEOD PHYSICIAN ASSOCIATES II NPI 1326491069

NPI Information

  • NPI: 1326491069
  • Provider Name: MCLEOD PHYSICIAN ASSOCIATES II
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Doing Business As: MCLEOD WOMEN'S CARE CLARENDON
  • CLIA Number: 42D0938518
  • Address: 50 E HOSPITAL ST
    STE 4A
    MANNING, SC
    ZIP 29102
  • Phone: (803) 433-0797

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NPI Details

MCLEOD PHYSICIAN ASSOCIATES II is an obstetrics gynecology in Manning, SC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MCLEOD PHYSICIAN ASSOCIATES II NPI is 1326491069. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mcleod Women's Care Clarendon.

The provider's business location address is:

50 E HOSPITAL ST
STE 4A
MANNING, SC
ZIP 29102-149
Phone: (803) 433-0797
Fax: (803) 433-0896

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 42D0938518 - 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
1207V00000XObstetrics & GynecologySOUTH CAROLINAYes

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This page was last updated on: 3/30/2025

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