Little River Medical Center, Inc. | |
700 Augusta Plantation Drive Myrtle Beach SC 29579-6713 | |
(843) 903-6300 | |
(843) 903-6301 |
Full Name | Little River Medical Center, Inc. |
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Speciality | Dentist |
Location | 700 Augusta Plantation Drive, Myrtle Beach, South Carolina |
Authorized Official Name and Position | Pamela Davis (CEO) |
Authorized Official Contact | 8436638000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Little River Medical Center, Inc. Po Box 547 Little River SC 29566-0547 Ph: (843) 663-8000 | Little River Medical Center, Inc. 700 Augusta Plantation Drive Myrtle Beach SC 29579-6713 Ph: (843) 903-6300 |
NPI Number | 1932457751 |
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Provider Enumeration Date | 08/28/2012 |
Last Update Date | 08/28/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932457751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
122300000X | Dentist | (* (Not Available)) | Primary |
Southeastern Hospitalist Services Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000 | |
Homestead Hospice Of Augusta, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Ronnie Ct Ste D, Myrtle Beach, SC 29579 Phone: 843-504-3421 Fax: 843-504-3422 | |
Healogics Specialty Physicians Of South Carolina, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5050 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 843-839-6000 | |
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