| Little River Medical Center, Inc. | |
|
516 Jordanville Rd Aynor SC 29511-3606 | |
| (843) 488-7070 | |
| (843) 488-7070 |
| Full Name | Little River Medical Center, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 516 Jordanville Rd, Aynor, South Carolina |
| Authorized Official Name and Position | Avangela K Criswell (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Contact | 8436631013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little River Medical Center, Inc. 287 Highway 90 E Ste 5 Little River SC 29566-7214 Ph: (843) 663-1013 | Little River Medical Center, Inc. 516 Jordanville Rd Aynor SC 29511-3606 Ph: (843) 488-7070 |
| NPI Number | 1235453655 |
|---|---|
| Provider Enumeration Date | 03/15/2010 |
| Last Update Date | 03/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235453655 | NPI | - | NPPES |
| ZA9656 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4406 (South Carolina) | Primary |
Aynor Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 9th Avenue Ext, Aynor, SC 29511 Phone: 843-358-1200 |