Organization
CANNON MEMORIAL HOSPITAL
Active
Parent organization
CANNON MEMORIAL HOSPITAL
Other names
Cannon Family Practice - Pendleton Street
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANNON MEMORIAL HOSPITAL
Authorized official
MR. NORMAN G RENTZ (CEO)
(864) 878-4791
Entity
Organization
Contact information
Practice address
865 PENDLETON ST, PICKENS, SC 29671-2578
(864) 878-4639
Mailing address
PO BOX 919, PICKENS, SC 29671-0919
(864) 897-8286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/25/2008
Last updated
02/12/2009
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