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MCLEOD PHYSICIAN ASSOCIATES II NPI 1609460443


NPI Information

NPI: 1609460443
Provider Name: MCLEOD PHYSICIAN ASSOCIATES II

Doing Business As: MCLEOD PRIMARY CARE PARTNERS NORTH MYRTLE BEACH

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 42D2217107

Address:
2021 N MYRTLE POINT BLVD STE 104
NORTH MYRTLE BEACH, SC
ZIP 29582
Phone: (843) 366-2900
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MCLEOD PHYSICIAN ASSOCIATES II is a family nurse practitioner in North Myrtle Beach, SC. MCLEOD PHYSICIAN ASSOCIATES II NPI is 1609460443. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mcleod Primary Care Partners North Myrtle Beach.

The provider's business location address is:

2021 N MYRTLE POINT BLVD STE 104
NORTH MYRTLE BEACH, SC
ZIP 29582-224
Phone: (843) 366-2900
Fax: (843) 366-2450

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 42D2217107 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2021 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

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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