Waterway Primary Care,llc
NPI #1295165579 in Little River, South Carolina
Provider Information
- NPI Number
- 1295165579
- Entity Type
- Organization
- Organization Name
- Waterway Primary Care,llc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 22, 2013
- Last Updated
- Nov 25, 2013
Practice Location
- Address
- 3600 SEA MOUNTAIN HWY
- City
- Little River
- State
- South Carolina
- ZIP Code
- 29566-8161
- Phone
- (843) 399-4848
Authorized Official
- Name
- MR. ROBERT ALI FAILE III
- Title
- AUTHORIZED OFFICIAL
- Phone
- (843) 856-7924
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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