Whalio Doctors

NPI 1225352644

Little River Medical Center, INC.

Organisation Dentist Conway, SC

Practice location

Address
108 N Clemson Cir, Conway, SC 29526-3810
Phone
(843) 663-1013
Fax
(843) 663-1017
Mailing address
287 Highway 90 E STE 5 STE #5, Little River, SC 29566-7214

Authorised official

Name
Avangela K Criswell
Title
Business Office Director
Phone
(843) 663-1013

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 4406 (SC)

Registry record

NPI
1225352644
Entity type
Organization
NPI issued
15 Mar 2010
Record last updated
16 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.