Organization · Type 2 NPI

McLeod Physician Associates II

Rural Health Clinic/Center · Green Sea, SC

NPI number 1114204153 Active

Practice location

5260 Highway 9
Green Sea, SC 29545-4930

Call (843) 392-9222 Map

Fax (843) 392-1445

Mailing address

PO Box 3239
Florence, SC 29502-3239

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Other rural health clinic/center providers in Green Sea

Loris Community Hospital DistrictRural Health Clinic/Center Green Sea, SC NPI 1194806604

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NPI record

NPI: 1114204153
Entity type: Organization (Type 2)
Issued: Nov 4, 2011
Last updated: Dec 6, 2011
Status: Active
Subpart: Yes of McLeod Health, Inc.

Other names

<unavail>
Family Health Center - Mt. Olive · doing business as

Authorized official

Mr. Dane P Ficco
Senior Vice President
(843) 777-7012

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114204153

McLeod Physician Associates II's National Provider Identifier is 1114204153, issued on Nov 4, 2011. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Green Sea, SC. The record was last updated on Dec 6, 2011.