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. |
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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 |
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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 |
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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 |
Riesenberg Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-580-1917 | |