NPI | 1699125104 |
---|---|
Doing Business As | MCLEOD SENIOR HEALTH CLARENDON |
Entity Type | Organization |
Authorized Contact | DANE P FICCO Senior Vice President 843-777-7010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Enumeration Date | 2016-06-15 |
Last Update Date | 2016-06-15 |