| Little River Medical Center, Inc. | |
|
504 Church St Conway SC 29526-4822 | |
| (843) 995-4861 | |
| Not Available |
| Full Name | Little River Medical Center, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 504 Church St, Conway, South Carolina |
| Authorized Official Name and Position | Avangela K Criswell (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Contact | 8436638017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little River Medical Center, Inc. Po Box 547 Little River SC 29566-0547 Ph: (843) 663-8000 | Little River Medical Center, Inc. 504 Church St Conway SC 29526-4822 Ph: (843) 995-4861 |
| NPI Number | 1528333952 |
|---|---|
| Provider Enumeration Date | 03/19/2012 |
| Last Update Date | 03/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528333952 | NPI | - | NPPES |
| ZA9656 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4406 (South Carolina) | Primary |
Dentalsmart Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2676 Church St, Conway, SC 29526 Phone: 843-735-6727 | |
Sparrow Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Professional Park Dr, Conway, SC 29526 Phone: 843-349-8888 | |
Carolina Forest Periodontics, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1074 Highway 501 Business, Conway, SC 29526 Phone: 843-650-8000 Fax: 843-347-4920 | |
Russell A. Boatwright, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1603 10th Ave, Conway, SC 29526 Phone: 843-248-2705 Fax: 843-248-4202 | |
Carolina Center For Cosmetic And Restorative Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 9th Ave, Conway, SC 29526 Phone: 843-248-3843 Fax: 843-248-8802 | |
Rivertown Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2608-b Main St, Conway, SC 29526 Phone: 843-488-2501 Fax: 843-488-2535 | |
Waccamaw Pediatric Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 158 Waccamaw Medical Park Ct, Conway, SC 29526 Phone: 843-347-5654 Fax: 843-347-3013 |