| NPI | 1972014652 |
|---|---|
| Doing Business As | MCLEOD PRIMARY CARE BENNETTSVILLE |
| Entity Type | Organization |
| Authorized Contact | SAMUEL FULTON ERVIN Senior VP And CFO 843-777-2910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |