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General NPI Number Information
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NPI Number | 1669367470
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Entity Type | Organization
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Legal Business Name | MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 3781 MCDOWELL LANE STE 110
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City | LITTLE RIVER
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State | SC
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Zip | 29566-8930
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Country | US
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Telephone | 843-366-2012
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Fax |
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Provider Business Mailing Address
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Address Line | 555 E CHEVES ST
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City | FLORENCE
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State | SC
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Zip | 29506-2617
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Country | US
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Telephone | 843-777-2000
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Fax |
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Authorized Official
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Title or Position | SENIOR VP AND CFO
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Name | SAMUEL FULTON ERVIN III
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Credential |
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Telephone | 843-777-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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