Little River Medical Center INC

NPI #1053471623 in Little River, South Carolina

Provider Information

NPI Number: 1053471623
Entity Type: Organization
Organization Name: Little River Medical Center INC
Subpart: Yes (part of a larger organization)
Parent Organization: LITTLE RIVER MEDICAL CENTER, INC.
Primary Specialty: Dentist
Enumeration Date: Dec 12, 2006
Last Updated: Nov 2, 2012

Practice Location

Address: 4303 LIVE OAK DR
City: Little River
State: South Carolina
ZIP Code: 29566-9138
Phone: (843) 663-8000

Authorized Official

Name: MRS. AVANGELA KAY CRISWELL
Title: BUSINESS OFFICE DIRECTOR
Phone: (843) 663-8017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Dentist	122300000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
Jesse Mitchel Raybon, DMD	Dentist	Little River	AI Deep Dive
DR. Jason Landino, DMD	Dentist	Little River	AI Deep Dive
DR. Sarah Spencer, DDS	Dentist	Little River	AI Deep Dive

Organizations

Provider Name	Specialty	City
Carolina Family Dental	Dentist	Little River	AI Deep Dive
Little River Medical Center Part of Little River Medical Center	Dentist	Little River	AI Deep Dive

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