| NPI | 1417335902 |
|---|---|
| Doing Business As | MCLEOD OB/GYN BENNETTSVILLE |
| Entity Type | Organization |
| Authorized Contact | DANE P. FICCO Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2016-03-14 |