Robert S. Eagerton, Jr. M.D.,LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

11415 Issued in SC

Legal business name

ROBERT S. EAGERTON, JR. M.D.,LLC

Practice address

200 E Hospital St
Manning, SC 29102-3160

Phone

(803) 433-0439

Fax

(803) 433-9840

NPI assigned

May 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert S Eagerton Jr., M.D.

Title

Owner

Phone

(803) 433-0439

Specialties & licenses 1

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1700093705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E HOSPITAL ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023160",
            "telephone_number": "803-433-0439",
            "fax_number": "803-433-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E HOSPITAL ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023160",
            "telephone_number": "803-433-0439",
            "fax_number": "803-433-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S. EAGERTON, JR. M.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "EAGERTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-433-0439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SC",
            "license": "11415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC RIVERBEND",
            "identifier": "RHC1700093705",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC MEDICAID",
            "identifier": "RHC1700093705",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700093705",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert W Rhame Jr., MD
• Tina M Rhea
• Cynthia M Richardson
• Robert L Ridgeway III, MD
• RJ Health, LLC
• Carmen Cribb Roberts, D.O.
• Jessica Bannister Robinson, PA
• John D Rozich, MD
• Garrett Frank Saikley, M.D.
• Danielle Boyce Saldana, D.O.

• Rural Health Clinic/Center in Manning, SC
• Providers in Manning, SC by specialty
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.