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 1659506699

Live Oak Medical Center, PA is a Family Medicine Physician in Lake City, 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

148 Sauls St
Lake City, SC 29560
Phone: (843) 687-0435
Fax: (843) 374-3624
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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 number1659506699
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Albert Mims — Director · (843) 374-3621
NPI enumeratedMay 20, 2009
Last updated in NPPESJanuary 20, 2010
Mailing address148 Sauls St., Lake City, SC 29560

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