Organization
LITTLE RIVER MEDICAL CENTER, INC.
Active
Parent organization
LITTLE RIVER MEDICAL CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LITTLE RIVER MEDICAL CENTER, INC.
Authorized official
AVANGELA K CRISWELL (BUSINESS OFFICE DIRECTOR)
(843) 663-8017
Entity
Organization
Contact information
Practice address
1411 10TH AVE N, MYRTLE BEACH, SC 29577-5615
(843) 663-8000
(843) 663-1017
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000
(843) 663-1017
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3657
SC
104100000X
Social Worker
7136
SC
207Q00000X
Family Medicine Physician
Primary
—
SC
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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