| NPI | 1245752294 |
|---|---|
| Doing Business As | MCLEOD MED SHARE CAROLINA FOREST |
| Entity Type | Organization |
| Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2022-06-07 |