NPI | 1083067714 |
---|---|
Doing Business As | MCLEOD PRIMARY CARE CLARENDON |
Entity Type | Organization |
Authorized Contact | DANE P. FICCO Senior Vice President 843-777-7010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2016-07-18 |
Last Update Date | 2016-07-18 |