Organization
GRAND STRAND SENIOR HEALTH CENTER LLC
Active
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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