Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Live Oak Medical Center, PA

Organization Family Medicine Physician · NPI 1144455197

Live Oak Medical Center, PA is a Family Medicine Physician in Lake City, South Carolina. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

148 Sauls St
Lake City, SC 29560
Phone: (843) 687-0435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1144455197
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLive Oak Medical Center, PA
Authorized official Albert Mims — Director · (843) 687-0435
NPI enumeratedMay 20, 2009
Last updated in NPPESMay 17, 2010
Mailing address148 Sauls St., Lake City, SC 29560

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