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General NPI Number Information
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NPI Number | 1932188372
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Entity Type | Individual
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Provider Name | DARRYL LYNN MCLEOD MD
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Gender | Male
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 1325 SPRING ST
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City | GREENWOOD
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State | SC
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Zip | 29646-3860
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Country | US
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Telephone | 864-725-4822
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Fax | 864-725-4679
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Provider Business Mailing Address
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Address Line | 1325 SPRING ST
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City | GREENWOOD
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State | SC
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Zip | 29646-3860
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Country | US
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Telephone | 804-350-2889
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Fax | 804-545-0652
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 14715
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License Number State | SC
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