| NPI | 1477008589 |
|---|---|
| Doing Business As | MCLEOD CLARENDON CLINIC |
| Entity Type | Organization |
| Authorized Contact | DANE FICCO Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-20 |