| Tara Harrison Aycock, DNP | |
|
4303 Live Oak Dr, Little River, SC 29566-9138 | |
| (843) 663-8000 | |
| (843) 663-8166 |
| Full Name | Tara Harrison Aycock |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4303 Live Oak Dr, Little River, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447008222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 28560 (South Carolina) | Primary |
| Entity Name | Little River Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629021076 PECOS PAC ID: 2961309315 Enrollment ID: O20031215000742 |
| Entity Name | Little River Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346638483 PECOS PAC ID: 2961309315 Enrollment ID: O20170510000410 |
| Entity Name | Little River Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184783284 PECOS PAC ID: 2961309315 Enrollment ID: O20170523000231 |
| Entity Name | Little River Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619100096 PECOS PAC ID: 2961309315 Enrollment ID: O20170523001559 |
| Entity Name | Little River Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508120619 PECOS PAC ID: 2961309315 Enrollment ID: O20170524001573 |
| Entity Name | Little River Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669535225 PECOS PAC ID: 2961309315 Enrollment ID: O20170601000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Harrison Aycock, DNP Po Box 547, Little River, SC 29566-0547 Ph: (843) 663-8294 | Tara Harrison Aycock, DNP 4303 Live Oak Dr, Little River, SC 29566-9138 Ph: (843) 663-8000 |
Jillian M. Siniscalchi, AGP-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 | |
Jamie Elizabeth Stevens, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3980 Highway 9 E Ste 220, Little River, SC 29566 Phone: 843-390-0877 | |
Ashley Joan Riley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8294 Fax: 843-663-8166 | |
Holly Leanne Poplin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2246 Highway 17, Little River, SC 29566 Phone: 843-663-2220 | |
Lauren Lewis St George, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Water Grande Blvd, Little River, SC 29566 Phone: 843-366-4000 | |
Mrs. Chandler Hardee Heaps, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3793 Mcdowell Lane Medical Park 2, Suite 200, Little River, SC 29566 Phone: 843-390-0877 | |
Antonela K Ratiu, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3600 Sea Mountain Hwy Ste B, Little River, SC 29566 Phone: 843-399-9696 |