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Organization
CLARENDON MEMORIAL HOSPITAL
Active
Organization
CLARENDON MEMORIAL HOSPITAL
Active
Parent organization
CLARENDON MEMORIAL HOSPITAL
Other names
Manning Medicine and Palmetto Women's Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLARENDON MEMORIAL HOSPITAL
Authorized official
MR. JULIE NETTLES (DIRECTOR/DIVISION MANAGER COMMUNITY)
(803) 435-5270
Entity
Organization
Contact information
Practice address
50 E. HOSPITAL ST., SUITE 4, MANNING, SC 29102-3149
(803) 435-5257
(803) 435-5259
Mailing address
50 E. HOSPITAL ST., SUITE 4, MANNING, SC 29102-3149
(803) 435-5257
(803) 435-5259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC 532
—
SC
Enumeration date
11/03/2006
Last updated
06/30/2011
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