NPI | 1346344934 |
---|---|
Doing Business As | MCLEOD PEDIATRICS - DILLON |
Entity Type | Organization |
Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-09-12 |
Last Update Date | 2022-06-03 |