Little River Medical Center

NPI 1205019163 - Dentist - 122300000X

NPI Details
NPI 1205019163
Enumeration Date 12/13/2007
Last Updated 12/13/2007
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CHARI L CHARI
Position CREDENTIALING MGR.
Phone (843) 663-1013
Fax (843) 663-1017
Practice Location
4303 LIVE OAK DR
LITTLE RIVER SC, 29566-9138, US
Phone (843) 663-1013
Fax (843) 663-1017
Business Location
PO BOX 547
LITTLE RIVER SC, 29566-0547, US
Phone (843) 663-1013
Fax (843) 663-1017
Toxanomy
Taxonomy Code 122300000X
License State South Carolina
License Number 4406
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According to our database, Little River Medical Center NPI is 1205019163, taxonomy code is 122300000X and license number is 4406, license state is located at South Carolina. Little River Medical Center physically located at 4303 Live Oak Dr, Little River SC, 29566-9138. NPI Number 1033115704 has the healthcare provider type.

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1205019163 NPI number is provided on an as is basis without warranty of any kind. 1205019163 is maintained by the National Plan & Provider Enumeration System. The contents of Little River Medical Center are for informational purposes only.