| Organization Name: | MCLEOD PHYSICIAN ASSOCIATES II |
| NPI Number: | 1427437870 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANE P. FICCO (SENIOR VICE PRESIDENT) |
| Mailing Address: | 723 S Doctors Dr Cheraw |
| State: | SC US |
| Postal Code: | 295207108 |
| Phone Number: | 8435379360 |
| Fax Number: | 8435372756 |
| NPI Enumeration Date: | 05/19/2015 |
| NPI Last Update Date: | 05/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |