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 KAY CRISWELL (BUSINESS OFFICE DIRECTOR)
(843) 663-1013
Entity
Organization
Contact information
Practice address
5000 TULIP GROVE RD, GREEN SEA, SC 29545-4977
(843) 392-1078
(843) 392-1090
Mailing address
287 HIGHWAY 90 E STE 5, STE#5, LITTLE RIVER, SC 29566-7214
(843) 663-1017
(843) 663-1013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9656
—
SC
Enumeration date
11/15/2007
Last updated
05/26/2010
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