| 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 |