| Mcleod Pediatrics - Dillon | |
|
705 N 8th Ave Ste 3a Dillon SC 29536-2549 | |
| (843) 774-6091 | |
| (843) 841-3814 |
| Full Name | Mcleod Pediatrics - Dillon |
|---|---|
| Speciality | Pediatrics |
| Location | 705 N 8th Ave, Dillon, South Carolina |
| Authorized Official Name and Position | Kenneth D. Beasley (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 8437777010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcleod Pediatrics - Dillon Po Box 3239 Florence SC 29502-3239 Ph: (843) 774-6091 | Mcleod Pediatrics - Dillon 705 N 8th Ave Ste 3a Dillon SC 29536-2549 Ph: (843) 774-6091 |
| NPI Number | 1346344934 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 06/03/2022 |
| Certification Date | 06/03/2022 |
| Medicare PECOS PAC ID | 8224031307 |
|---|---|
| Medicare Enrollment ID | O20061020000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346344934 | NPI | - | NPPES |
| GP1967 | Medicaid | SC | |
| RHC162 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (NU) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (NU) | Secondary |
| 208000000X | Pediatrics | (NU) | Primary |
Mcleod Dillon Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 N 6th Ave, Dillon, SC 29536 Phone: 843-774-7336 Fax: 843-774-3745 |
Quad/med, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 224a Harbor Freight Rd, Dillon, SC 29536 Phone: 843-708-4824 |
Dillon Internal Medicine Associates PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 N 8th Ave, Suite 1a, Dillon, SC 29536 Phone: 843-774-2478 Fax: 843-774-0293 |
Physicians Healthcare of Dillon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1639 Highway 301 N, Dillon, SC 29536 Phone: 843-774-5182 |
Caresouth Carolina, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1016 Old Latta Hwy, Dillon, SC 29536 Phone: 843-774-4337 |
Physicians Healthcare of Dillon, P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1639 Highway 301 N, Dillon, SC 29536 Phone: 843-774-8438 Fax: 843-841-0703 |