Provider Demographics
NPI:1750355590
Name:MCLEOD, LINDA C (MD)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:C
Last Name:MCLEOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 23321
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-3321
Mailing Address - Country:US
Mailing Address - Phone:803-438-0825
Mailing Address - Fax:803-438-0817
Practice Address - Street 1:1165 HIGHWAY 1 S STE 500
Practice Address - Street 2:
Practice Address - City:LUGOFF
Practice Address - State:SC
Practice Address - Zip Code:29078-8966
Practice Address - Country:US
Practice Address - Phone:803-438-0825
Practice Address - Fax:803-438-0817
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC14644207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC17503555900OtherNPI
SC146443Medicaid
SCE84425Medicare UPIN