Organization · Type 2 NPI

Cannon Memorial Hospital

Rural Health Clinic/Center · Easley, SC

NPI number 1700890084 Active

Practice location

111 W Roper Rd
Easley, SC 29640-8805

Call (864) 897-8280 Map

Fax (864) 897-8281

Mailing address

PO Box 100174
Columbia, SC 29202-3174

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

6 other providers at this address

NPI record

NPI: 1700890084
Entity type: Organization (Type 2)
Issued: Jul 29, 2006
Last updated: Jul 28, 2022
Status: Active
Subpart: Yes of Cannon Memorial Hospital

Other names

<unavail>
Anmed Primary Care - Easley · doing business as

Authorized official

Michael Cunningham
President/ceo
(864) 898-1133

Verify this record

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 1700890084

Cannon Memorial Hospital's National Provider Identifier is 1700890084, issued on Jul 29, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Easley, SC. The record was last updated on Jul 28, 2022.