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3980 Highway 9 E Suite 100a Little River SC 29566-8163 | |
(843) 390-8320 | |
(843) 390-8329 |
Full Name | |
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Speciality | Family Medicine |
Location | 3980 Highway 9 E, Little River, South Carolina |
Authorized Official Name and Position | Kenneth D. Beasley (SENIOR VICE PRESIDENT) |
Authorized Official Contact | 8437777010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 3239 Florence SC 29502-3239 Ph: (843) 646-8929 | 3980 Highway 9 E Suite 100a Little River SC 29566-8163 Ph: (843) 390-8320 |
NPI Number | 1649547761 |
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Provider Enumeration Date | 11/17/2011 |
Last Update Date | 06/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649547761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (South Carolina) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Palmetto Mental Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1304 Highway 17 Ste A, Little River, SC 29566 Phone: 843-278-0098 | |
Strand Regional Specialty Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4000 Highway 9 E, Suite 215, Little River, SC 29566 Phone: 843-390-0033 Fax: 843-390-0038 | |
Waterway Primary Care,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3600 Sea Mountain Hwy, Little River, SC 29566 Phone: 843-399-4848 | |
Little River Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-1013 Fax: 843-663-1017 | |
Southern Spinal Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3203 Highway 9 E Unit B, Little River, SC 29566 Phone: 919-491-9317 |