| 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 | 363LF0000X Nurse Practitioner, Family |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-20 |