Mcleod Health Clarendon

NPI #1497103618 in Manning, South Carolina

Provider Information

NPI Number: 1497103618
Entity Type: Organization
Organization Name: Mcleod Health Clarendon
Subpart: Yes (part of a larger organization)
Parent Organization: MCLEOD HEALTH
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: May 27, 2016
Last Updated: Dec 13, 2018

Practice Location

Address: 50 E HOSPITAL ST
Address 2: SUITE 4
City: Manning
State: South Carolina
ZIP Code: 29102-3149
Phone: (803) 435-5250

Authorized Official

Name: MR. SAMUEL FULTON ERVIN III
Title: SR VICE PRESIDENT AND CFO
Phone: (843) 777-2910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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