Organization
CANNON MEMORIAL HOSPITAL
Active
Parent organization
ANMED
Other names
AnMed ENT - Clemson
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANMED
Authorized official
MR. MICHAEL CUNNINGHAM (CEO)
(864) 512-1109
Entity
Organization
Contact information
Practice address
885 TIGER BLVD STE A, CLEMSON, SC 29631-1480
(864) 897-0390
(864) 897-0391
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 716-7750
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
03/29/2017
Last updated
08/11/2022
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