Clarendon Memorial Hospital

Organization Active NPI Rural Health Clinic/Center · Manning, SC

NPI 1821380197 · NPPES record last updated Sep 9, 2011

Key facts

NPI
1821380197
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
CLARENDON MEMORIAL HOSPITAL
Practice address
200 E Hospital St
Manning, SC 29102-3160
Phone
(803) 433-0439
Fax
(803) 433-9840
NPI assigned
May 5, 2011
Organization subpart
Yes
Parent organization (as reported)
CLARENDON MEMORIAL HOSPITAL

Authorized official

Name
Mrs. Julie S Nettles
Title
Division Manager of Community Clini
Phone
(803) 435-5270

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Part of
Clarendon EMS

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

200 E Hospital St
Manning, SC 29102-3160

Mailing address

200 E Hospital St
Manning, SC 29102-3160
Phone (803) 433-0439

Other names

  • Robert S Eagerton, Jr., MD Family Practice Doing business as

Other providers in Manning, SC

All providers in Manning, SC · Rural Health Clinic/Center in South Carolina

Sources for this page

Verify at the official NPI Registry.