Organization
LITTLE RIVER MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAY CRISWELL (BUSINESS OFFICE MANAGER)
(843) 663-1013
Entity
Organization
Contact information
Practice address
4303 LIVE OAK DR, LITTLE RIVER, SC 29566-9138
(843) 663-1013
(843) 663-1017
Mailing address
4303 LIVE OAK DR, LITTLE RIVER, SC 29566-9138
(843) 663-1013
(843) 663-1017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2356
—
SC
Enumeration date
07/09/2008
Last updated
07/09/2008
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