Lake Marion Primary Care

NPI #1912964479 in Manning, South Carolina

Provider Information

NPI Number
1912964479
Entity Type
Organization
Organization Name
Lake Marion Primary Care
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Apr 27, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
15 E HOSPITAL ST
ZIP Code
29102-3152
Phone
(803) 435-2529

Authorized Official

Name
SAUNDRA WALLACE
Title
ADMINISTRATOR
Phone
(803) 435-2529

Specialties & Taxonomy Codes

Specialty
Family Medicine
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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