Organization Name: | MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. |
NPI Number: | 1376515197 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL PROVENZANO (REGIONAL PRACTICE MANAGER/AVP) |
Mailing Address: | 701 Cashua Ferry Rd Darlington |
State: | SC US |
Postal Code: | 295328488 |
Phone Number: | 8433988500 |
Fax Number: | 8433987028 |
NPI Enumeration Date: | 02/06/2006 |
NPI Last Update Date: | 03/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |