NPI | 1184481897 |
---|---|
Doing Business As | MCLEOD FAMILY MEDICINE SOUTH |
Entity Type | Organization |
Authorized Contact | SAMUEL FULTON ERVIN Sr. VP & CFO 843-777-2910 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2024-02-29 |
Last Update Date | 2024-02-29 |