| NPI | 1598739799 |
|---|---|
| Doing Business As | MCLEOD PEDIATRIC SUBSPECIALTIES |
| Entity Type | Organization |
| Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine |
| 2080P0205X Pediatrics Pediatric Endocrinology | |
| 2080P0206X Pediatrics Pediatric Gastroenterology | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2022-06-03 |