Mcleod Family Medicine - Dillon
LBN: Mcleod Physician Associates Ii
Mcleod Family Medicine - Dillon is an health care organization with primary practice located at 207 E Monroe St , Dillon SC 29536-2557. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Mcleod Physician Associates Ii can be contacted via phone (843) 774-3736, or through Provenzano, Paul via phone (843) 777-7030.
Contact Information
Primary practice address
207 E Monroe St
Dillon SC 29536-2557
Phone: (843) 774-3736
Fax: (843) 774-4967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1568434249 |
|---|---|
| LBN Legal business name | Mcleod Physician Associates Ii |
| DBA Doing business as | Mcleod Family Medicine - Dillon |
| Authorized official | Provenzano, Paul |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Mar 27th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568434249 | NPPES |
| South Carolina | MEDICAID | GP4322 |
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