NPI | 1134740475 |
---|---|
Doing Business As | MCLEOD FAMILY MEDICINE SOUTH |
Entity Type | Organization |
Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-04-28 |
Last Update Date | 2022-06-07 |