Mcleod Health Clarendon
NPI #1497104525 in Manning, South Carolina
Provider Information
- NPI Number
- 1497104525
- Entity Type
- Organization
- Organization Name
- Mcleod Health Clarendon
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MCLEOD HEALTH
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 9, 2016
- Last Updated
- Feb 25, 2019
Practice Location
- Address
- 22 BOZARD ST
- City
- Manning
- State
- South Carolina
- ZIP Code
- 29102-2935
- Phone
- (803) 435-8828
Authorized Official
- Name
- MR. SAMUEL FULTON ERVIN III
- Title
- SR VICE PRESIDENT AND CFO
- Phone
- (843) 777-2910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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