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Organization
MCLEOD HEALTH CLARENDON
Active
Organization
MCLEOD HEALTH CLARENDON
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Women's Care Clarendon
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
MR. SAMUEL FULTON ERVIN III (SR VICE PRESIDENT AND CFO)
(843) 777-2910
Entity
Organization
Contact information
Practice address
50 E HOSPITAL ST, SUITE 4, MANNING, SC 29102-3149
(803) 435-5250
Mailing address
50 E HOSPITAL ST STE 2, MANNING, SC 29102-3149
(803) 435-5250
(803) 433-0896
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42-3459
MEDICARE
SC
05
—
RHC244
—
SC
Enumeration date
05/27/2016
Last updated
02/10/2026
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