Organization · Type 2 NPI

McLeod Regional Medical Center of the Pee Dee, Inc

Emergency Medical Services (Emergency Medicine) Physician · Florence, SC

NPI number 1154371433 Active

Practice location

555 E Cheves St
Florence, SC 29506-2617

Call (843) 777-2000 Map

Fax (843) 777-5035

Mailing address

PO Box 100567
Florence, SC 29502-0567

Other practice locations

3980 Highway 9 E Ste 300, Little River, SC 29566-8165 · (843) 366-3891
401 E Cheves St Ste 201, Florence, SC 29506-2615 · (843) 777-7951
701 Cashua Ferry Rd, Darlington, SC 29532-8488 · (843) 777-1100

Specialties and licenses

Taxonomy	Code	License
Psychologist	103T00000X	None listed
Registered Dietitian	133V00000X	None listed
Emergency Medical Services (Emergency Medicine) Physician Primary	207PE0004X	None listed
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Critical Care Medicine (Internal Medicine) Physician	207RC0200X	None listed
Endocrinology, Diabetes & Metabolism Physician	207RE0101X	None listed
Gastroenterology Physician	207RG0100X	None listed
Hematology & Oncology Physician	207RH0003X	None listed
Interventional Cardiology Physician	207RI0011X	None listed
Pediatric Endocrinology Physician	2080P0205X	None listed
Neurology Physician	2084N0400X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed
Certified Registered Nurse Anesthetist	367500000X	None listed

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

387 other providers at this address

NPI record

NPI: 1154371433
Entity type: Organization (Type 2)
Issued: May 10, 2006
Last updated: Mar 19, 2024
Status: Active
Subpart: Yes of McLeod Health

Other names

<unavail>
Cbo MRMC Emergency · doing business as
Cbo MRMC Emergency · doing business as

Authorized official

Samuel Fulton Ervin
Senior VP and CFO
(843) 777-2910

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 1154371433

McLeod Regional Medical Center of the Pee Dee, Inc's National Provider Identifier is 1154371433, issued on May 10, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Florence, SC. The record was last updated on Mar 19, 2024.