Healthcare Provider Details
I. General information
NPI: 1578406716
Provider Name (Legal Business Name): MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3781 MCDOWELL LN STE 210
LITTLE RIVER SC
29566-8930
US
IV. Provider business mailing address
PO BOX 601743
CHARLOTTE NC
28260-1743
US
V. Phone/Fax
- Phone: 843-366-2940
- Fax: 843-366-2470
- Phone: 843-366-2940
- Fax: 843-366-2470
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DUDLEY
BERNICE
HARRINGTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 843-777-4401