Organization
CLARENDON MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD W STOKES (CHIEF FINANCIAL OFFICER)
(803) 435-8463
Entity
Organization
Contact information
Practice address
10 HOSPITAL STREET, MANNING, SC 29102-3153
(803) 435-8463
Mailing address
PO BOX 550, MANNING, SC 29102-0550
(803) 435-8463
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
Primary
HTL 012
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400694
—
SC
Enumeration date
10/17/2006
Last updated
10/29/2007
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