| NPI | 1740047455 |
|---|---|
| Doing Business As | MCLEOD DIGESTIVE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | SAMUEL FULTON ERVIN Sr VP & CFO 843-777-2910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |