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
PAMELA DAVIS (CEO)
(843) 663-8000
Entity
Organization
Contact information
Practice address
700 AUGUSTA PLANTATION DRIVE, MYRTLE BEACH, SC 29579-6713
(843) 903-6300
(843) 903-6301
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000
(843) 663-1018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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