Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

McLeod Physician Associates II

Organization Family Medicine Physician · NPI 1689869018

McLeod Physician Associates II is a Family Medicine Physician in Latta, South Carolina. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3

Practice location Address checks out

108A E Main St
Latta, SC 29565-1617
Phone: (843) 752-5111
Fax: (843) 752-5100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Rural Health Clinic/Center Taxonomy 261QR1300X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1689869018
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMcLeod Health
Authorized official Paul Provenzano — Regional Practice Manager/Avp · (843) 777-7030
Other names McLeod Family Medicine - Latta
NPI enumeratedSeptember 10, 2007
Last updated in NPPESMarch 27, 2009
Mailing addressPo Box 3239, Florence, SC 29502-3239

Other providers in Latta