Organization
LITTLE RIVER MEDICAL CENTER
Active
Parent organization
LITTLE RIVER MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LITTLE RIVER MEDICAL CENTER
Authorized official
MRS. CHARI L SHERRILL (CREDENTIALING MGR.)
(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
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-1013
(843) 663-1017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4406
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9656
—
SC
Enumeration date
12/13/2007
Last updated
12/13/2007
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