| Organization Name: | MCLEOD PHYSICIAN ASSOCIATES II |
| NPI Number: | 1326416116 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANE P. FICCO (SENIOR VICE PRESIDENT) |
| Mailing Address: | 3980 Highway 9 E Suite 240 Little River |
| State: | SC US |
| Postal Code: | 295668163 |
| Phone Number: | 8433663755 |
| Fax Number: | 8433663750 |
| NPI Enumeration Date: | 09/10/2015 |
| NPI Last Update Date: | 02/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |