Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Live Oak Medical Center, PA

Organization Family Medicine Physician · NPI 1144455197

Live Oak Medical Center, PA provides Family Medicine Physician services in Lake City, South Carolina. Registered with an NPI since 2009.

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 Not confirmed with CMS for 16 years — call before visiting
Phone: (843) 687-0435
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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

Record details

NPI number1144455197
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLive Oak Medical Center, PA
Authorized official Albert Mims — Director · (843) 687-0435
NPI enumeratedMay 20, 2009
Last updated in NPPESMay 17, 2010
Mailing address148 Sauls St., Lake City, SC 29560

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