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 |