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Individual

DR. ROBERT S EAGERTON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 E HOSPITAL ST, MANNING, SC 29102-3160
(803) 433-0439
(803) 433-9840
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(803) 435-5270
(803) 433-0154

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11415
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010012018
RAILROAD MEDICARE
SC
01
1558366039
RHC RIVERBEND
SC
01
1821380197
GROUP NPI
SC
05
RHC065
SC
Enumeration date
06/20/2005
Last updated
02/02/2021
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