NPI | 1326594995 |
---|---|
Doing Business As | MCLEOD PRIMARY CARE CAROLINA FOREST 1 |
Entity Type | Organization |
Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2016-09-01 |
Last Update Date | 2022-11-30 |