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LIVE OAK MEDICAL CENTER, PA
NPI 1659506699
Family Medicine in Lake City, SC

Active since May 20, 2009
148 SAULS ST., LAKE CITY, SC 29560(843) 687-0435(843) 374-3624 Get Directions Write a Review

NPPES record last updated: January 20, 2010. Verified against the NPPES registry weekly; last sync: August 02, 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 1659506699) is a healthcare organization registered as a family medicine in Lake City, 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

NPI1659506699
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIVE OAK MEDICAL CENTER, PA
Location Address148 SAULS ST.Lake City, SC 29560
Mailing Address148 Sauls St.Lake City, SC 29560 · (843) 374-3621 · Fax (843) 374-3624
Phone(843) 687-0435
Fax(843) 374-3624
Organization SubpartNo
Authorized OfficialAlbert Durant MimsDirector · (843) 374-3621
Enumeration DateMay 20, 2009
Last NPPES UpdateJanuary 20, 2010
✔ NPI 1659506699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 9352
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
148 SAULS ST., Lake City, SC 29560
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Other Identifiers 1

MedicaidGP5322SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

LIVE OAK MEDICAL CENTER, PA
Family Medicine
148 SAULS ST.
LAKE CITY, SC 29560
Florence County (843) 687-0435

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 Live Oak Medical Center, PA's NPI number?

The NPI number for Live Oak Medical Center, PA is 1659506699. It was assigned to this organization in the NPPES registry on May 20, 2009.

Where is Live Oak Medical Center, PA located?

Live Oak Medical Center, PA is located at 148 Sauls St., Lake City, SC 29560. The listed phone number is (843) 687-0435.

What is Live Oak Medical Center, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Live Oak Medical Center, PA was last updated on January 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.