NPI | 1730413949 |
---|---|
Doing Business As | MCLEOD VASCULAR ASSOCIATES |
Entity Type | Organization |
Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
Enumeration Date | 2009-09-22 |
Last Update Date | 2022-06-07 |