Organization
GRAND STRAND SENIOR HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGH WHITE (CEO)
(842) 692-1104
Entity
Organization
Contact information
Practice address
4237 RIVER HILLS DR, SUITE 150, LITTLE RIVER, SC 29566-6444
(843) 281-2778
(843) 281-2785
Mailing address
4237 RIVER HILLS DR, SUITE 150, LITTLE RIVER, SC 29566-6444
(843) 281-2778
(843) 281-2785
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3814
—
SC
Enumeration date
11/10/2005
Last updated
08/05/2009
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