| Live Oak Medical Center, Pa | |
|
148 Sauls St. Lake City SC 29560 | |
| (843) 687-0435 | |
| (843) 374-3624 |
| Full Name | Live Oak Medical Center, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 148 Sauls St., Lake City, South Carolina |
| Authorized Official Name and Position | Albert Durant Mims (DIRECTOR) |
| Authorized Official Contact | 8433743621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Oak Medical Center, Pa 148 Sauls St. Lake City SC 29560 Ph: (843) 374-3621 | Live Oak Medical Center, Pa 148 Sauls St. Lake City SC 29560 Ph: (843) 687-0435 |
| NPI Number | 1659506699 |
|---|---|
| Provider Enumeration Date | 05/20/2009 |
| Last Update Date | 01/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659506699 | NPI | - | NPPES |
| GP5322 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9352 (South Carolina) | Primary |
Musc Health Primary Care - Ron Mcnair Blvd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 276 N Ron Mcnair Blvd, Lake City, SC 29560 Phone: 843-792-1414 | |
Palmetto Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Mercy St, Lake City, SC 29560 Phone: 843-374-9355 Fax: 843-374-9358 | |
East Main Medical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 238 E Main St, Lake City, SC 29560 Phone: 843-374-7020 Fax: 843-374-7021 | |
Hopehealth School Base Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 652 N Matthews Rd, Lake City, SC 29560 Phone: 843-667-9414 Fax: 843-374-2713 | |
Carolinas Medical Alliance Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 John St, Lake City, SC 29560 Phone: 843-394-2031 | |
Live Oak Medical Center, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 Sauls St., Lake City, SC 29560 Phone: 843-687-0435 | |
Lake City Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 N Matthews Rd, Lake City, SC 29560 Phone: 843-374-8380 Fax: 843-374-5247 |