Organization
CANNON MEMORIAL HOSPITAL
Active
Parent organization
CANNON MEMORIAL HOSPITAL
Other names
Cannon Orthopedics - Divina
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
115 BRUSHY CREEK RD, EASLEY, SC 29642-1120
(864) 855-1633
Mailing address
PO BOX 919, PICKENS, SC 29671-0919
(864) 897-8286
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
SC
Other
Enumeration date
07/24/2008
Last updated
01/21/2009
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