Organization · Type 2 NPI

McLeod Physician Associates II

Rural Health Clinic/Center · Bennettsville, SC

NPI number 1972014652 Active

Practice location

1040 Marlboro Way Ste 1
Bennettsville, SC 29512-2494

Call (843) 479-5890 Map

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...

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NPI record

NPI: 1972014652
Entity type: Organization (Type 2)
Issued: Oct 20, 2017
Last updated: Oct 20, 2017
Status: Active
Subpart: Yes of McLeod Physician Associates II

Other names

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McLeod Primary Care Bennettsville · 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 1972014652

McLeod Physician Associates II's National Provider Identifier is 1972014652, issued on Oct 20, 2017. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Bennettsville, SC. The record was last updated on Oct 20, 2017.