Little River Medical Center

NPI #1205019163 in Little River, South Carolina

Provider Information

NPI Number: 1205019163
Entity Type: Organization
Organization Name: Little River Medical Center
Subpart: Yes (part of a larger organization)
Parent Organization: LITTLE RIVER MEDICAL CENTER
Primary Specialty: Dentist
Enumeration Date: Dec 13, 2007
Last Updated: Dec 13, 2007

Practice Location

Address: 4303 LIVE OAK DR
City: Little River
State: South Carolina
ZIP Code: 29566-9138
Phone: (843) 663-1013

Authorized Official

Name: MRS. CHARI L SHERRILL
Title: CREDENTIALING MGR.
Phone: (843) 663-1013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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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 INC Part of Little River Medical Center, Inc.	Dentist	Little River	AI Deep Dive

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