| Little River Medical Center, Inc. | |
|
901 11th Ave N North Myrtle Beach SC 29582-2509 | |
| (843) 663-0195 | |
| (843) 249-8638 |
| Full Name | Little River Medical Center, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 901 11th Ave N, North Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Avangela Kay 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) 663-1013 | Little River Medical Center, Inc. 901 11th Ave N North Myrtle Beach SC 29582-2509 Ph: (843) 663-0195 |
| NPI Number | 1881877769 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 05/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881877769 | NPI | - | NPPES |
| FQC024 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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