| Dr Lacie Victoria Wallace, MD | |
|
1400 Hospital Dr, Mt Pleasant, SC 29464-3255 | |
| (843) 884-1341 | |
| (843) 884-1345 |
| Full Name | Dr Lacie Victoria Wallace |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1400 Hospital Dr, Mt Pleasant, 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 |
|---|---|---|---|
| 1366018012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | LL86050 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 86050 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lacie Victoria Wallace, MD Po Box 751649, Charlotte, NC 28275-1649 Ph: (888) 472-0043 | Dr Lacie Victoria Wallace, MD 1400 Hospital Dr, Mt Pleasant, SC 29464-3255 Ph: (843) 884-1341 |
Susan Cao, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3074 N Highway 17, Mt Pleasant, SC 29466 Phone: 843-884-6424 | |
Ann Gregory Kelly, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466 Phone: 544-447-6768 Fax: 854-999-0549 | |
Dr. David Tyler Heinemann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3510 N Highway 17 Ste 320, Mt Pleasant, SC 29466 Phone: 843-971-3361 Fax: 843-606-8003 | |
Dr. Priscilla Wilcox Holtzclaw, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Salterbeck Ct, Ste 100, Mt Pleasant, SC 29466 Phone: 843-971-3361 Fax: 843-971-8492 | |
Mr. Philip D Rhine, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1790 Tennyson Row, Mt Pleasant, SC 29466 Phone: 803-429-3523 | |
Mitchell L. Earley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Bowman Rd, Mt Pleasant, SC 29464 Phone: 436-067-1858 Fax: 843-606-7187 | |
Romita L Wallen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2736 Rush Haven Dr, Mt Pleasant, SC 29466 Phone: 843-881-7477 Fax: 843-881-7477 |