Mcleod Health Clarendon
NPI #1144875774 in Johnsonville, South Carolina
Provider Information
- NPI Number
- 1144875774
- Entity Type
- Organization
- Organization Name
- Mcleod Health Clarendon
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Aug 9, 2019
- Last Updated
- Aug 14, 2019
Practice Location
- Address
- 355 S GEORGETOWN HWY
- City
- Johnsonville
- State
- South Carolina
- ZIP Code
- 29555-8083
- Phone
- (843) 380-2000
Authorized Official
- Name
- SAMUEL FULTON ERVIN III
- Title
- SR VICE PRESIDENT AND CFO
- Phone
- (843) 777-2910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Nurse Practitioner - Family — Family |
| Clinic/Center - Rural Health — Rural Health |
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