| NPI | 1205882461 |
|---|---|
| Doing Business As | MCLEOD FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SAMUEL FULTON ERVIN Sr. Vice President And CFO 843-777-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 122300000X Dentist | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2019-07-16 |