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

McLeod Regional Medical Center of the Pee Dee, Inc

Organization Family Medicine Physician · NPI 1558128108

McLeod Regional Medical Center of the Pee Dee, Inc is a Family Medicine Physician in Myrtle Beach, South Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

107 McLeod Health Blvd Ste 102
Myrtle Beach, SC 29579-4477
Phone: (843) 839-1201
Fax: (843) 646-8755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1558128108
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMcLeod Health
Authorized official Samuel Ervin — Sr Vp & Cfo · (843) 777-2910
Other names McLeod Primary Care Carolina Forest 2
NPI enumeratedFebruary 29, 2024
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024
Mailing addressPo Box 601743, Charlotte, NC 28260-1743

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