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PRIMECARE OF THE LOWER PEE DEE LLC
NPI 1972044758
Chiropractor in Lake City, SC

Active since March 14, 2017
263 KELLEY ST, STE 100, LAKE CITY, SC 29560(843) 394-8274(843) 394-1604 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Primecare Of The Lower Pee Dee Llc NPPES

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

PRIMECARE OF THE LOWER PEE DEE LLC (NPI 1972044758) is a healthcare organization registered as a chiropractor in Lake City, South Carolina and active in the NPI registry since March 2017. The organization lists Tyrone D Wallace, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1972044758
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePRIMECARE OF THE LOWER PEE DEE LLC
Location Address263 KELLEY ST, STE 100Lake City, SC 29560-2472
Mailing Address263 Kelley St, Ste 100Lake City, SC 29560-2472 · (843) 394-8274 · Fax (843) 394-1604
Phone(843) 394-8274
Fax(843) 394-1604
Organization SubpartNo
Authorized OfficialTyrone D WallaceOwner/provider · (843) 394-8274
Enumeration DateMarch 14, 2017
✔ NPI 1972044758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
263 KELLEY ST, Lake City, SC 29560
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

WALLACE CHIROPRACTIC AND SPINAL REHAB, LLC
Chiropractor
263 KELLEY ST, SUITE 100
LAKE CITY, SC 29560
Florence County (843) 394-8274
TYRONE D WALLACE DC
Chiropractor
263 KELLEY ST, STE 100
LAKE CITY, SC 29560
Florence County (843) 394-8274

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 Primecare Of The Lower Pee Dee LLC's NPI number?

The NPI number for Primecare Of The Lower Pee Dee LLC is 1972044758. It was assigned to this organization in the NPPES registry on March 14, 2017.

Where is Primecare Of The Lower Pee Dee LLC located?

Primecare Of The Lower Pee Dee LLC is located at 263 Kelley St Ste 100, Lake City, SC 29560. The listed phone number is (843) 394-8274.

What is Primecare Of The Lower Pee Dee LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Primecare Of The Lower Pee Dee LLC was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.