| NPI | 1134780364 |
|---|---|
| Doing Business As | MCLEOD ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2022-06-07 |