OrganizationActive
Clarendon Memorial Hospital
NPI 1639538663 · Geriatric Medicine (Family Medicine) Physician · Manning, SC
Provider details
- NPI number
- 1639538663
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Shaughnessy, Cfo(803) 435-3187
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20 E Hospital St
Suite 2
Manning, SC 29102-3153
Phone: (803) 433-3052
Street-level locationGet directions
Mailing address
Po Box 550
Manning, SC 29102-0550
Other names (DBA / former)
- Doing business as
- Clarendon Senior Health Care
Registry dates
- Enumerated
- 2016-02-18
- Last updated
- 2016-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.