Organization
CLARENDON MEMORIAL HOSPITAL
Active
Parent organization
CLARENDON MEMORIAL HOSPITAL
Other names
Pain Management Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLARENDON MEMORIAL HOSPITAL
Authorized official
RICHARD STOKES (CFO)
(803) 435-3235
Entity
Organization
Contact information
Practice address
20 HOSPITAL ST, MANNING, SC 29102
(803) 435-5256
(803) 435-5259
Mailing address
20 HOSPITAL ST, MANNING, SC 29102
(803) 435-5256
(803) 435-5259
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
11271
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4630
—
SC
Enumeration date
12/12/2006
Last updated
02/14/2008
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