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Mr. Lawrence Wallace, MD, PT

Physical Therapist in North Myrtle Beach, SC · enumerated 2005 · practices at Elite Hand and Upper Extremity Therapy.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679567192

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Registry record

Entity type Individual (Type 1)
Name Mr. Lawrence Wallace
Credential MD, PT
Sex Male
Practice address 1021 2nd Ave N Ste 6, North Myrtle Beach, SC, 29582
Phone (843) 286-5168
Fax (844) 318-8980
Enumeration date Sep 12, 2005
Last updated in NPPES Jan 26, 2026

Taxonomy & licenses

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License MD439714 (PA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License P2177 (NC) Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 0101234728 (VA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 11194 (SC) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
010114446 Medicaid VA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lawrence Wallace?
The National Provider Identifier (NPI) for Lawrence Wallace is 1679567192, a Type 1 (individual) record in the CMS NPPES registry.
Where does Lawrence Wallace practice?
The practice location on file with NPPES is in North Myrtle Beach, SC. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-26.