Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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 provides Family Medicine Physician services 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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