| NPI | 1326693953 |
|---|---|
| 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 ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |