# CANNON MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANMED
- **Other names:** AnMed ENT - Clemson
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295267227
- **Legal business name:** ANMED
- **Authorized official:** MR. MICHAEL CUNNINGHAM (CEO)
- **Authorized official phone:** (864) 512-1109

## Contact information

- **Practice address:** 885 TIGER BLVD STE A, CLEMSON, SC 29631-1480
- **Practice address phone:** (864) 897-0390
- **Practice address fax:** (864) 897-0391
- **Mailing address:** PO BOX 100174, COLUMBIA, SC 29202-3174
- **Mailing address phone:** (864) 716-7750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2017
- **Last updated:** 08/11/2022