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NPI 1053710012 · live from the CMS NPI Registry

Mcleod Physician Associates Ii

Obstetrics & Gynecology, Gynecology in Florence, SC. National Provider Identifier 1053710012, active.

NPI record

NPI1053710012 Type 2 · organization
StatusActive
Primary specialtyObstetrics & Gynecology, Gynecology 207VG0400X
Practice location101 William H. Johnson Street, Suite 200, Florence, SC 29506
Practice phone843-777-7500
Mailing addressPo Box 3239, Florence, SC 29502
EnumeratedAugust 15, 2014
Last updatedJune 7, 2022
Authorized officialKenneth Beasley, Senior Vice President
Other namesMcleod Gyn Specialist

Taxonomies and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology, Gynecology primary207VG0400X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.