| Mcleod Family Medicine | |
|
144 N Ravenel St Florence SC 29506-2641 | |
| (843) 777-2800 | |
| Not Available |
| Full Name | Mcleod Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 144 N Ravenel St, Florence, South Carolina |
| Authorized Official Name and Position | Samuel Fulton Ervin (SR. VICE PRESIDENT AND CFO) |
| Authorized Official Contact | 8437772910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcleod Family Medicine Po Box 100567 Florence SC 29501-0567 Ph: (843) 777-5802 | Mcleod Family Medicine 144 N Ravenel St Florence SC 29506-2641 Ph: (843) 777-2800 |
| NPI Number | 1205882461 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 07/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205882461 | NPI | - | NPPES |
| GP2493 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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