| NPI | 1649428194 |
|---|---|
| Doing Business As | MCLEOD UROLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 208800000X Urology (Licence: SC 21941) |
| 363AM0700X Physician Assistant Medical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2022-06-07 |