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LAKE CITY MEDICAL ASSOCIATES 2017, LLC
NPI 1316477060
Clinic/Center - Primary Care in Lake City, SC

Active since June 15, 2017
130 S ACLINE ST, LAKE CITY, SC 29560(843) 374-3277(843) 374-3281 Get Directions Write a Review

NPPES record last updated: March 2, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 2, 2018, Oct 16, 2017, Jun 15, 2017 (3 updates tracked since 2017).

About Lake City Medical Associates 2017, Llc NPPES

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

LAKE CITY MEDICAL ASSOCIATES 2017, LLC (NPI 1316477060) is a healthcare organization registered as a primary care in Lake City, South Carolina and active in the NPI registry since June 2017. The organization lists Sheila P Godwin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1316477060
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLAKE CITY MEDICAL ASSOCIATES 2017, LLC
Location Address130 S ACLINE STLake City, SC 29560-2633
Mailing Address130 S Acline StLake City, SC 29560-2633
Phone(843) 374-3277
Fax(843) 374-3281
Organization SubpartNo
Authorized OfficialSheila P GodwinOffice Manager · (843) 374-3277
Enumeration DateJune 15, 2017
Last NPPES UpdateMarch 2, 20183 updates tracked since enumeration
✔ NPI 1316477060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
130 S ACLINE ST, Lake City, SC 29560
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake City Medical Associates 2017, LLC's NPI number?

The NPI number for Lake City Medical Associates 2017, LLC is 1316477060. It was assigned to this organization in the NPPES registry on June 15, 2017.

Where is Lake City Medical Associates 2017, LLC located?

Lake City Medical Associates 2017, LLC is located at 130 S Acline St, Lake City, SC 29560. The listed phone number is (843) 374-3277.

What is Lake City Medical Associates 2017, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Lake City Medical Associates 2017, LLC was last updated on March 2, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.