NPI
McLeod Physician Associates II
Doing business as McLeod Family Medicine - Latta. NPI 1689869018
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2007-09-10
- Last updated
- 2009-03-27
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 108a East Main Street
- City
- Latta SC
- Postal code
- 29565-1617
- Phone
- (843) 752-5111
Organization contact
- Name
- Paul Provenzano
- Title
- Regional Practice Manager/AVP
- Phone
- (843) 777-7030
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Latta, SC. 59 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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