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Organization
MCLEOD HEALTH CLARENDON
Active
Organization
MCLEOD HEALTH CLARENDON
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Primary Care Clarendon, McLeod Family Medicine-Palmetto
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 STE 3, MANNING, SC 29102-3149
(803) 435-8828
(803) 435-2239
Mailing address
50 E HOSPITAL ST STE 3, MANNING, SC 29102-3149
(803) 435-8828
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42-3460
MEDICARE
SC
05
—
RHC243
—
SC
Enumeration date
06/09/2016
Last updated
02/10/2026
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