Little River Medical Center, Inc.

NPI #1528333952 in Conway, South Carolina

Provider Information

NPI Number
1528333952
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
Mar 19, 2012
Last Updated
Mar 19, 2012

Practice Location

Address
504 CHURCH ST
City
Conway
ZIP Code
29526-4822
Phone
(843) 995-4861

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist

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