| NPI | 1912236225 |
|---|---|
| Doing Business As | MCLEOD PEDIATRICS DILLON: DR. LEWIS |
| Entity Type | Organization |
| Authorized Contact | DANE FICCO Sr VP 843-777-7000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 30392) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 3943) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-17 |