Organization
CANNON MEMORIAL HOSPITAL
Active
Parent organization
CANNON MEMORIAL HOSPITAL
Other names
AnMed Primary Care - Easley
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANNON MEMORIAL HOSPITAL
Authorized official
MICHAEL CUNNINGHAM (PRESIDENT/CEO)
(864) 898-1133
Entity
Organization
Contact information
Practice address
111 W ROPER RD, EASLEY, SC 29640-8805
(864) 897-8280
(864) 897-8281
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 897-8286
(864) 878-0035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4560
—
SC
05
—
RHC171
—
SC
Enumeration date
07/29/2006
Last updated
07/28/2022
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