| Little River Medical Center, Inc. | |
|
4303 Live Oak Dr Little River SC 29566-9138 | |
| (843) 663-8017 | |
| (843) 663-1017 |
| Full Name | Little River Medical Center, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 4303 Live Oak Dr, Little River, South Carolina |
| Authorized Official Name and Position | Avangela K Criswell (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Contact | 8436631013 |
| 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) 663-8017 | Little River Medical Center, Inc. 4303 Live Oak Dr Little River SC 29566-9138 Ph: (843) 663-8017 |
| NPI Number | 1841514163 |
|---|---|
| Provider Enumeration Date | 03/15/2010 |
| Last Update Date | 07/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841514163 | NPI | - | NPPES |
| ZA9656 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4406 (South Carolina) | Primary |
Carolina Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3702 Sea Mountain Hwy, Little River, SC 29566 Phone: 843-734-0212 Fax: 843-734-0215 | |
Little River Medical Center Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 Fax: 843-663-8154 | |
Little River Medical Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-1013 Fax: 843-663-1017 | |
Little River Medical Center, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 Fax: 843-663-1017 | |
Dental Professionals Of South Carolina, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Pavilion Dr, Little River, SC 29566 Phone: 843-633-8385 Fax: 843-633-8362 | |
Coastal Cosmetic Dental Associates, Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1247 Highway 17, Little River, SC 29566 Phone: 843-249-4092 Fax: 843-249-1638 | |
Pee Dee Elementary Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 287 Highway 90 E, Suite 3, Little River, SC 29566 Phone: 843-663-1013 Fax: 843-663-1017 |