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

Southern Living Emergency Physicians LLC

Organization Emergency Medicine Physician · NPI 1528314325

Southern Living Emergency Physicians LLC is an Emergency Medicine Physician in Loris, South Carolina. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6988 Mitchell St
Loris, SC 29569
Phone: (843) 716-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1528314325
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Kondas — Officer · (973) 251-1132
NPI enumeratedJuly 30, 2012
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020
Mailing address13737 Noel Rd, Ste 1600, Dallas, TX 75240-1331

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