NPI | 1649942632 |
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Doing Business As | MCLEOD PEDIATRIC AND ADULT ENDOCRINOLOGY |
Entity Type | Organization |
Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
363LA2100X Nurse Practitioner, Acute Care | |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2021-09-29 |
Last Update Date | 2022-06-07 |