NPI | 1326672361 |
---|---|
Doing Business As | MCLEOD PRIMARY CARE PARTNERS |
Entity Type | Organization |
Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2020-02-28 |
Last Update Date | 2022-06-07 |