| Organization Name: | MCLEOD PHYSICIAN ASSOCIATES II |
| NPI Number: | 1942305388 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL PROVENZANO (REGIONAL PRACTICE MANAGER/AVP) |
| Mailing Address: | 116 Hospital Square Bishopville |
| State: | SC US |
| Postal Code: | 290107081 |
| Phone Number: | 8034849424 |
| Fax Number: | 8034846991 |
| NPI Enumeration Date: | 09/13/2006 |
| 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: | |