NPI | 1760860258 |
---|---|
Doing Business As | MCLEOD SURGERY BENNETTSVILLE |
Entity Type | Organization |
Authorized Contact | DANE P. FICCO Seniotr Vice President 843-777-7010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208600000X Surgery |
Enumeration Date | 2015-05-15 |
Last Update Date | 2015-05-22 |