| NPI | 1255198727 |
|---|---|
| Doing Business As | MCLEOD NEUROLOGY SEACOAST |
| Entity Type | Organization |
| Authorized Contact | SAMUEL FULTON ERVIN Sr VP & CFO 843-777-2913 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-04 |