McLeod Physician Associates II
Organization Active NPI Rural Health Clinic/Center · Bennettsville, SC
NPI 1508377284 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1508377284
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- MCLEOD PHYSICIAN ASSOCIATES II
- Practice address
- 1076 Marlboro Way Ste 3
Bennettsville, SC 29512-2495 - Phone
- (843) 479-0432
- NPI assigned
- Oct 20, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- MCLEOD PHYSICIAN ASSOCIATES II
Authorized official
- Name
- Samuel Fulton Ervin III
- Title
- Senior VP and Cfo
- Phone
- (843) 777-2910
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- McLeod Physician Associates II
- Part of
- McLeod Physician Associates II
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
1076 Marlboro Way Ste 3
Bennettsville, SC 29512-2495
Mailing address
PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7162
Other practice location 1
1076 Marlboro Way Ste 3
Bennettsville, SC 29512-2495
Phone (843) 479-0483
Other names
- McLeod Pediatrics Bennettsville
Other providers in Bennettsville, SC
- Denise McLaurin
- Crystal Gayle McLendon
- McLeod Health Cheraw
- McLeod Physician Associates II
- McLeod Physician Associates II
- McLeod Physician Associates II
- McLeod Physician Associates II
- McLeod Physician Associates II
- Beulah McNeill
- Vontavia McPhaul
All providers in Bennettsville, SC · Rural Health Clinic/Center in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.