| NPI | 1912392127 |
|---|---|
| Doing Business As | MCLEOD PRIMARY CARE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2023-05-26 |