Organization
LITTLE RIVER MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA R DAVIS (CEO)
(843) 663-8001
Entity
Organization
Contact information
Practice address
4220 CAROLINA EXCHANGE BLVD, MYRTLE BEACH, SC 29579
(843) 663-8000
(843) 663-8117
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000
(843) 663-8117
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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