| NPI | 1750832374 |
|---|---|
| Doing Business As | MCLEOD SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2022-06-07 |