| NPI | 1962851097 |
|---|---|
| Doing Business As | EAGERTON FAMILY MEDICINE |
| Doing Business As | MCLEOD FAMILY MEDICINE-DR. EAGERTON, JR. |
| Entity Type | Organization |
| Authorized Contact | SAMUEL FULTON ERVIN Sr Vice President And CFO 843-777-2910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2020-04-17 |