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

Tyrone D Wallace, DC

Individual provider Chiropractor · NPI 1780633420

Tyrone D Wallace, DC is a Chiropractic in Lake City, South Carolina. Graduated from Sherman College of Straight Chiropractic in 1994, 32 years ago. Practices as a sole proprietor. Licensed in South Carolina.

Years since qualifying
32
Trained at
Sherman College of Straight Chiropractic
Licensed in
SC
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

263 Kelley St Ste 100
Lake City, SC 29560-2450
Phone: (843) 394-8274
Fax: (843) 394-1604
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1873 (SC)

Record details

NPI number1780633420
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedMay 9, 2006
Last updated in NPPESDecember 7, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolSHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Not indicated

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