Organization
LITTLE RIVER MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA DAVIS (CEO)
(843) 663-8001
Entity
Organization
Contact information
Practice address
3236 HOLMESTOWN RD, MYRTLE BEACH, SC 29588-7495
(843) 663-8000
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000
(843) 663-1018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQC117
—
SC
Enumeration date
07/03/2012
Last updated
01/16/2024
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