| NPI | 1538707146 |
|---|---|
| Doing Business As | MCLEOD PRIMARY CARE AND PEDIATRICS BENNETTSVILLE |
| Entity Type | Organization |
| Authorized Contact | SAMUEL FULTON ERVIN Sr Vice President And CFO 843-777-2910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2020-09-28 |