Organization · Type 2 NPI

McLeod Physician Associates II

Rural Health Clinic/Center · Kingstree, SC

NPI number 1275689002 Active

Practice location

512 Nelson Blvd Ste 200
Kingstree, SC 29556-4027

Call (843) 355-5459 Map

Fax (843) 355-9704

Mailing address

PO Box 3239
Florence, SC 29502-3239

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	11529 (SC)
Medical Physician Assistant	363AM0700X	None listed

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

3 other providers at this address

McLeod Health ClarendonFamily Medicine Physician Kingstree, SC NPI 1326693953
Paul Andrew Gulledge, FNPFamily Nurse Practitioner Kingstree, SC NPI 1194855502
Raina McKenzie Philhower, PA-CMedical Physician Assistant Kingstree, SC NPI 1326614363

Other rural health clinic/center providers in Kingstree

See all in Kingstree →

NPI record

NPI: 1275689002
Entity type: Organization (Type 2)
Issued: Jan 26, 2007
Last updated: Aug 8, 2019
Status: Active
Subpart: Yes of McLeod Health

Other names

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McLeod Family Medicine Kingstree · doing business as
McLeod Family Medicine Kingstree · doing business as

Authorized official

Samuel Fulton Ervin
SR Vice President 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 1275689002

McLeod Physician Associates II's National Provider Identifier is 1275689002, issued on Jan 26, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Kingstree, SC. The record was last updated on Aug 8, 2019.