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

Loris Medical Center, PA

Organization Family Medicine Physician · NPI 1740216191

Loris Medical Center, PA provides Family Medicine Physician services in Loris, South Carolina. Registered with an NPI since 2006.

In the registry since
2006
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

3439 Casey St
Loris, SC 29569-2903 Not confirmed with CMS for 17 years — call before visiting
Phone: (843) 756-1582
Fax: (843) 756-2042
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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 number1740216191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wanda Graham — Practice Administrator · (843) 756-5300
NPI enumeratedJune 25, 2006
Last updated in NPPESSeptember 10, 2009
Mailing address3439 Casey St, Loris, SC 29569-2903

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