| 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 |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2022-06-07 |