| Little River Medical Center, Inc. | |
|
700 Augusta Plantation Drive Myrtle Beach SC 29579-6713 | |
| (843) 903-6300 | |
| (843) 903-6301 |
| Full Name | Little River Medical Center, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 700 Augusta Plantation Drive, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Pamela Davis (CEO) |
| Authorized Official Contact | 8436638000 |
| 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. 700 Augusta Plantation Drive Myrtle Beach SC 29579-6713 Ph: (843) 903-6300 |
| NPI Number | 1932457751 |
|---|---|
| Provider Enumeration Date | 08/28/2012 |
| Last Update Date | 08/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932457751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
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