Mr. Lawrence Wallace, MD, PT
Mr. Lawrence Wallace, MD, PT is a Physical Therapist in Private Practice in North Myrtle Beach, South Carolina. Qualified in 1997, 29 years ago. Practices with Elite Hand and Upper Extremity Therapy, a 6-clinician group and accepts Medicare assignment. Licensed in North Carolina, Pennsylvania, South Carolina and Virginia.
- Years since qualifying
- 29
- Licensed in
- NC, PA, SC, VA
- In the registry since
- 2005
- Specialties on file
- 4
What do these letters mean?
Practice location Address checks out
1021 2nd Ave N Ste 6North Myrtle Beach, SC 29582-3200
Phone: (843) 286-5168
Fax: (844) 318-8980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 11194 (SC) |
|---|---|
| Orthopaedic Surgery Physician | Taxonomy 207X00000X · Licence MD439714 (PA) |
| Physical Therapist | Taxonomy 225100000X · Licence P2177 (NC) |
| Orthopaedic Surgery Physician | Taxonomy 207X00000X · Licence 0101234728 (VA) |
Record details
| NPI number | 1679567192 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD , PT |
| Sole proprietor | No |
| NPI enumerated | September 12, 2005 |
| Last updated in NPPES | January 26, 2026 |
| Certification date | January 26, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Elite Hand And Upper Extremity Therapy — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in North Myrtle Beach
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Dr. Zachary Christian Bailey, MD
1621 Highway 17 N, North Myrtle Beach, SC 29582-2229 · (843) 353-3460
-
Max Duster Gehrman, MD
1621 Highway 17 N, North Myrtle Beach, SC 29582-2229 · (843) 353-3460
-
Orthosc, LLC
1621 Highway 17 N, North Myrtle Beach, SC 29582-2229 · (843) 353-3460