| 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 |