Organization · Type 2 NPI

McLeod Health Clarendon

Family Medicine Physician · Manning, SC

NPI number 1497104525 Active

Practice location

50 E Hospital St Ste 3
Manning, SC 29102-3149

Fax (803) 435-2239

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

14 other providers at this address

Other family medicine physician providers in Manning

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NPI record

NPI: 1497104525
Entity type: Organization (Type 2)
Issued: Jun 9, 2016
Last updated: Feb 10, 2026
Status: Active
Subpart: Yes of McLeod Health

Other names

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McLeod Family Medicine-Palmetto · doing business as
McLeod Primary Care Clarendon · doing business as

Authorized official

Mr. Samuel Fulton Ervin
SR Vice President and CFO
(843) 777-2910

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497104525

McLeod Health Clarendon's National Provider Identifier is 1497104525, issued on Jun 9, 2016. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Manning, SC. The record was last updated on Feb 10, 2026.