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Organization
LITTLE RIVER MEDICAL CENTER, INC.
Active
Organization
LITTLE RIVER MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAY CRISWELL (BUSINESS OFFICE MANAGER)
(843) 663-1013
Entity
Organization
Contact information
Practice address
4303 LIVE OAK DR, LITTLE RIVER, SC 29566-9138
(843) 663-1013
(843) 663-1017
Mailing address
4303 LIVE OAK DR, LITTLE RIVER, SC 29566-9138
(843) 663-1013
(843) 663-1017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2356
—
SC
Enumeration date
07/09/2008
Last updated
07/09/2008
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