NPI 1407613029

McLeod Regional Medical Center of the Pee Dee, INC

Organisation Family Medicine Physician Loris, SC

Practice location

Address: 3418 Casey St, Loris, SC 29569-2904
Phone: (843) 756-7885
Fax: (843) 756-7855
Mailing address: PO Box 601743, Charlotte, NC 28260-1743

Authorised official

Name: Samuel Fulton Ervin
Title: Sr Vp & Cfo
Phone: (843) 777-2910

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in South Carolina →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

Other Nurse Practitioner providers in South Carolina →

Registry record

NPI: 1407613029
Entity type: Organization
NPI issued: 29 Feb 2024
Record last updated: 29 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.