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 1235364282

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

Licensed in
SC
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

342 W Main St
Kingstree, SC 29556-3235
Phone: (843) 355-3621
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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 · Licence 9352 (SC)

Record details

NPI number1235364282
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 NPPESJuly 9, 2010
Mailing address342 W Main St, Kingstree, SC 29556-3235

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