Lake Marion Primary Care
NPI 1912964479 · Cardiovascular Disease Physician · Manning, SC
Lake Marion Primary Care is a Cardiovascular Disease Physician organization in Manning, SC (NPI 1912964479).
Provider details
- NPI number
- 1912964479
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Saundra Wallace, Administrator(803) 435-2529
- License
- 13275 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-27
- Last updated
- 2025-09-11
Frequently asked questions
- What is Lake Marion Primary Care's NPI number?
- Lake Marion Primary Care's National Provider Identifier (NPI) is 1912964479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Marion Primary Care?
- Lake Marion Primary Care is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Marion Primary Care located?
- Lake Marion Primary Care's practice location on file with NPPES is 15 E Hospital St, Manning, SC 29102-3152.
- What is Lake Marion Primary Care's phone number?
- The practice phone number listed in the NPPES registry for Lake Marion Primary Care is (803) 435-2529.
- Who is the authorized official for Lake Marion Primary Care?
- The authorized official listed on Lake Marion Primary Care's NPPES record is Saundra Wallace, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Marion Primary Care's NPI active?
- Yes — Lake Marion Primary Care's NPI (1912964479) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.