MCLEOD FAMILY MEDICINE - LATTA
NPI 1689869018
Family Medicine in Latta, SC

Q: What is Mcleod Physician Associates II's NPI number?

The NPI number for Mcleod Physician Associates II is 1689869018. It was assigned to this organization in the NPPES registry on September 10, 2007. The provider is doing business as Mcleod Family Medicine - Latta.

Q: What is Mcleod Physician Associates II's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 10, 2007

108A EAST MAIN STREET, LATTA, SC 29565(843) 752-5111(843) 752-5100 Get Directions Write a Review

NPPES record last updated: March 27, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mcleod Family Medicine - Latta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCLEOD FAMILY MEDICINE - LATTA (NPI 1689869018) is a healthcare organization registered as a family medicine in Latta, South Carolina and active in the NPI registry since September 2007. The organization lists Paul Provenzano, Regional Practice Manager/avp, as its authorized official.

NPPES Registry Identity

NPI1689869018

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMCLEOD PHYSICIAN ASSOCIATES II

Location Address108A EAST MAIN STREETLatta, SC 29565-1617

Mailing AddressPo Box 3239Florence, SC 29502-3239 · (843) 752-5111 · Fax (843) 752-5100

Phone(843) 752-5111

Fax(843) 752-5100

Organization SubpartYesParent: Mcleod Health

Authorized OfficialPaul ProvenzanoRegional Practice Manager/avp · (843) 777-7030

Enumeration DateSeptember 10, 2007

Last NPPES UpdateMarch 27, 2009

✔ NPI 1689869018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

108A EAST MAIN STREET, Latta, SC 29565

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Other Names 1

Doing Business AsMcleod Family Medicine - Latta

Other Identifiers 1

MedicaidGP4874SC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mcleod Physician Associates II's NPI number?

The NPI number for Mcleod Physician Associates II is 1689869018. It was assigned to this organization in the NPPES registry on September 10, 2007. The provider is doing business as Mcleod Family Medicine - Latta.

Where is Mcleod Physician Associates II located?

Mcleod Physician Associates II is located at 108A East Main Street, Latta, SC 29565. The listed phone number is (843) 752-5111.

What is Mcleod Physician Associates II's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mcleod Physician Associates II was last updated on March 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.