| Mcleod Primary Care Carolina Forest 1 | |
|
101 Mcleod Health Blvd Ste 201 Myrtle Beach SC 29579-4477 | |
| (843) 646-8001 | |
| (843) 646-8002 |
| Full Name | Mcleod Primary Care Carolina Forest 1 |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Mcleod Health Blvd Ste 201, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Kenneth D. Beasley (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 8437777010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcleod Primary Care Carolina Forest 1 Po Box 3239 Florence SC 29502-3239 Ph: (843) 777-7042 | Mcleod Primary Care Carolina Forest 1 101 Mcleod Health Blvd Ste 201 Myrtle Beach SC 29579-4477 Ph: (843) 646-8001 |
| NPI Number | 1326594995 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326594995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
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