NPI | 1003461773 |
---|---|
Doing Business As | MCLEOD FAMILY MEDICINE-TIMMONSVILLE |
Entity Type | Organization |
Authorized Contact | SAMUEL FULTON ERVIN Sr Vice President And CFO 843-777-2910 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2019-08-08 |
Last Update Date | 2019-08-14 |