| NPI | 1275689002 |
|---|---|
| Doing Business As | MCLEOD FAMILY MEDICINE KINGSTREE |
| Entity Type | Organization |
| Authorized Contact | SAMUEL FULTON ERVIN Sr Vice President And CFO 843-777-2910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: SC 11529) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363AM0700X Physician Assistant Medical | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-08-08 |