| NPI | 1164792016 |
|---|---|
| Doing Business As | MCLEOD ENT SEACOAST |
| Entity Type | Organization |
| Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2022-06-07 |