| Organization Name: | MCLEOD PHYSICIAN ASSOCIATES II |
| NPI Number: | 1164792016 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANE P FICCO (SR VP) |
| Mailing Address: | 4000 Highway 9 E Suite 270 Little River |
| State: | SC US |
| Postal Code: | 295667833 |
| Phone Number: | 8433904200 |
| Fax Number: | 8433998200 |
| NPI Enumeration Date: | 01/10/2012 |
| NPI Last Update Date: | 01/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0905X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |