NPI | 1033877592 |
---|---|
Doing Business As | MCLEOD DILLON FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363AM0700X Physician Assistant, Medical | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2021-12-02 |
Last Update Date | 2022-06-07 |