| Mcleod Family Medicine Kingstree | |
|
512 Nelson Blvd Ste 200 Kingstree SC 29556-4027 | |
| (843) 355-5459 | |
| (843) 355-9704 |
| Full Name | Mcleod Family Medicine Kingstree |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 512 Nelson Blvd Ste 200, Kingstree, 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 Kingstree Po Box 3239 Florence SC 29502-3239 Ph: (843) 777-7162 | Mcleod Family Medicine Kingstree 512 Nelson Blvd Ste 200 Kingstree SC 29556-4027 Ph: (843) 355-5459 |
| NPI Number | 1275689002 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275689002 | NPI | - | NPPES |
| RHC047 | Medicaid | SC |
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