| NPI | 1801326814 |
|---|---|
| Doing Business As | MCLEOD DERMATOLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DANE P. FICCO Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2018-01-18 |