Organization · Type 2 NPI

McLeod Physician Associates II

Family Medicine Physician · Latta, SC

NPI number 1689869018 Active

Practice location

108A East Main Street
Latta, SC 29565-1617

Call (843) 752-5111 Map

Fax (843) 752-5100

Mailing address

PO Box 3239
Florence, SC 29502-3239

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Rural Health Clinic/Center	261QR1300X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NPI record

NPI: 1689869018
Entity type: Organization (Type 2)
Issued: Sep 10, 2007
Last updated: Mar 27, 2009
Status: Active
Subpart: Yes of McLeod Health

Other names

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McLeod Family Medicine - Latta · doing business as

Authorized official

Mr. Paul Provenzano
Regional Practice Manager/avp
(843) 777-7030

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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 1689869018

McLeod Physician Associates II's National Provider Identifier is 1689869018, issued on Sep 10, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Latta, SC. The record was last updated on Mar 27, 2009.