Mcleod Health Clarendon

NPI #1508218793 in Manning, South Carolina

Provider Information

NPI Number
1508218793
Entity Type
Organization
Organization Name
Mcleod Health Clarendon
Subpart
Yes (part of a larger organization)
Parent Organization
MCLEOD HEALTH
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jul 12, 2016
Last Updated
Feb 25, 2019

Practice Location

Address
10 E HOSPITAL ST
ZIP Code
29102-3153
Phone
(843) 435-8463

Authorized Official

Name
SAMUEL F ERVIN III
Title
SR VICE PRESIDENT AND CFO
Phone
(843) 777-2910

Specialties & Taxonomy Codes

Specialty
Emergency Medicine
Nurse Anesthetist, Certified Registered

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