NPI | 1578239307 |
---|---|
Doing Business As | MCLEOD INTERNAL MEDICINE AT THE MANOR |
Entity Type | Organization |
Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
Enumeration Date | 2021-08-20 |
Last Update Date | 2023-06-02 |