NPI | 1255304846 |
---|---|
Doing Business As | MCLEOD PRIMARY CARE ASSOCIATES |
Entity Type | Organization |
Authorized Contact | DONNA ISGETT Senior Vice President 843-777-7010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363LA2200X Nurse Practitioner, Adult Health | |
207R00000X Internal Medicine | |
207RG0300X Internal Medicine, Geriatric Medicine | |
Enumeration Date | 2006-02-13 |
Last Update Date | 2018-10-09 |