OrganizationActive
Prime Care of the Lower Pee Dee, LLC
NPI 1437692407 · Multi-Specialty Clinic/Center · Lake City, SC
Provider details
- NPI number
- 1437692407
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tyrone Wallace, Owner(843) 394-8274
- License
- SC 1873 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
263 Kelley St Ste 100
Lake City, SC 29560-2472
Phone: (843) 394-8274
Fax: (843) 394-1604
Approximate (ZIP-level) locationGet directions
Mailing address
263 Kelleyst Ste 100
Lake City, SC 29560
Registry dates
- Enumerated
- 2016-11-23
- Last updated
- 2016-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.