| NPI | 1962429589 |
|---|---|
| Doing Business As | MCLEOD PEDIATRIC ORTHOPAEDICS |
| Entity Type | Organization |
| Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
| 363AS0400X Physician Assistant, Surgical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-06-03 |