NPI | 1326339607 |
---|---|
Doing Business As | MCLEOD FAMILY MEDICINE WEST |
Entity Type | Organization |
Authorized Contact | KENNETH SHRANKO A VP 843-777-7000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-04-21 |
Last Update Date | 2011-04-21 |