Provider Demographics
NPI:1255322145
Name:MCLEOD, IAN KEITH (MD FACS)
Entity Type:Individual
Prefix:DR
First Name:IAN
Middle Name:KEITH
Last Name:MCLEOD
Suffix:
Gender:M
Credentials:MD FACS
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Mailing Address - Street 1:322 COMMERCIAL DR STE 2
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3639
Mailing Address - Country:US
Mailing Address - Phone:912-355-2335
Mailing Address - Fax:770-217-3339
Practice Address - Street 1:322 COMMERCIAL DR STE 2
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406
Practice Address - Country:US
Practice Address - Phone:912-355-2335
Practice Address - Fax:770-217-3339
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2023-11-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA74158207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology