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Loris Medical Center, PA

Family Medicine Physician in Loris, SC · enumerated 2006 · authorized official Wanda Graham, Practice Administrator.

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

National Provider Identifier

1740216191

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Registry record

Entity type Organization (Type 2)
Legal business name Loris Medical Center, PA
Practice address 3439 Casey St, Loris, SC, 29569
Fax (843) 756-2042
Enumeration date Jun 25, 2006
Last updated in NPPES Sep 10, 2009

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Wanda Graham
Title Practice Administrator

Other identifiers

Identifier Type State Issuer
4771 Other SC PALMETTO MEDICARE
GP1053 Medicaid SC -
CA6664 Other SC RAILROAD MEDICARE
5950200 Medicaid NC -
0291J Other NC NORTH CAROLINA BCBS

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-09-10. Verify at npiregistry.cms.hhs.gov.
Where is Loris Medical Center, PA located?
The practice location on file with NPPES is in Loris, SC.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-09-10.