| Little River Medical Center, Inc. | |
|
2801 Red Bluff Rd Loris SC 29569-6224 | |
| (843) 756-5136 | |
| (843) 756-3965 |
| Full Name | Little River Medical Center, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 2801 Red Bluff Rd, Loris, 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. 287 Highway 90 E Ste 5 Ste#5 Little River SC 29566-7214 Ph: (843) 663-1013 | Little River Medical Center, Inc. 2801 Red Bluff Rd Loris SC 29569-6224 Ph: (843) 756-5136 |
| NPI Number | 1225218605 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 04/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225218605 | NPI | - | NPPES |
| ZA9656 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Loris Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3681 Spivey St, Loris, SC 29569 Phone: 843-756-5747 | |
Little River Medical Center, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Hwy 9 Business E, Loris, SC 29569 Phone: 843-390-6860 Fax: 843-390-6861 | |
Ds Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 Bayboro St, Loris, SC 29569 Phone: 765-220-0620 | |
Dr Gwyn Gordon Mccutchen Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3681 Spivey Street, Loris, SC 29569 Phone: 843-756-5747 Fax: 843-756-5749 | |
Carolina Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 Bayboro St., Loris, SC 29569 Phone: 843-756-2273 Fax: 843-756-0242 | |
Little River Medical Center, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5209 Highway 66, Loris, SC 29569 Phone: 843-756-2181 Fax: 843-756-0522 |