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LIVE OAK MEDICAL CENTER, PA
NPI 1285869222
Clinic/Center - Rural Health in Kingstree, SC

Active since May 20, 2009
342 W MAIN ST, KINGSTREE, SC 29556(843) 687-0435 Get Directions Write a Review

NPPES record last updated: June 4, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Live Oak Medical Center, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVE OAK MEDICAL CENTER, PA (NPI 1285869222) is a healthcare organization registered as a rural health in Kingstree, South Carolina and active in the NPI registry since May 2009. The organization lists Albert Durant Mims, Director, as its authorized official.

NPPES Registry Identity

NPI1285869222
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLIVE OAK MEDICAL CENTER, PA
Location Address342 W MAIN STKingstree, SC 29556-3235
Mailing Address342 W Main StKingstree, SC 29556-3235 · (843) 687-0435
Phone(843) 687-0435
Organization SubpartYes
Authorized OfficialAlbert Durant MimsDirector · (843) 687-0435
Enumeration DateMay 20, 2009
Last NPPES UpdateJune 4, 2009
✔ NPI 1285869222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in SC · 9352
342 W MAIN ST, Kingstree, SC 29556
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIVE OAK MEDICAL CENTER, PA
Family Medicine
342 W MAIN ST
KINGSTREE, SC 29556
Williamsburg County (843) 355-3621
CAROLINAS MEDICAL ALLIANCE INC
Family Medicine
342 W MAIN ST
KINGSTREE, SC 29556
Williamsburg County (843) 355-3621
PALMETTO PRIMARY CARE PHYSICIANS, LLC
Family Medicine
342 W MAIN ST
KINGSTREE, SC 29556
Williamsburg County (843) 355-3621
SHAWNTOYA WILKERSON
Licensed Practical Nurse
342 W MAIN ST
KINGSTREE, SC 29556
Williamsburg County (843) 355-3621
MADISON BRIANNA GRAHAM PA-C
Physician Assistant
342 W MAIN ST
KINGSTREE, SC 29556
Williamsburg County (843) 355-3621

Frequently Asked Questions

What is LIVE OAK MEDICAL CENTER, PA's NPI number?

The NPI number assigned to this healthcare provider is 1285869222, enumerated as an "organization" on May 20, 2009.

Where is the provider located?

The provider is located at 342 W MAIN ST KINGSTREE, SC 29556 and the phone number is (843) 687-0435.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.