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Contact Information

LITTLE RIVER MEDICAL CENTER INC
4303 LIVE OAK DR
LITTLE RIVER, SC29566-9138
 Phone: 843-663-8000
 Fax: 843-663-8154
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for LITTLE RIVER MEDICAL CENTER INC · (Female)

NPI Number 1053471623
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2006
Last updated 11/02/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 4406
  • SC Medicaid ZA9656
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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