Provider Demographics
NPI:1972951093
Name:MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE
Entity type:Organization
Organization Name:MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGARS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:843-777-2000
Mailing Address - Street 1:300 S DARGAN ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-2537
Mailing Address - Country:US
Mailing Address - Phone:843-777-3020
Mailing Address - Fax:843-777-5368
Practice Address - Street 1:300 SOUTH DARGAN STREET
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-9908
Practice Address - Country:US
Practice Address - Phone:843-777-3020
Practice Address - Fax:843-777-5368
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management