NPI 1972044758

Primecare of the Lower Pee Dee LLC

Organisation Chiropractor Lake City, SC

Practice location

Address: 263 Kelley St STE 100, Lake City, SC 29560-2472
Phone: (843) 394-8274
Fax: (843) 394-1604

Authorised official

Name: Tyrone D Wallace
Title: Owner/Provider
Phone: (843) 394-8274

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

Other Chiropractor providers in South Carolina →

Registry record

NPI: 1972044758
Entity type: Organization
NPI issued: 14 Mar 2017
Record last updated: 14 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.