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Southlake Obgyn LLC

Obstetrics & Gynecology Physician in Lexington, SC · enumerated 2006 · authorized official Traci Garnett, Office Manager.

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

National Provider Identifier

1841252509

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Registry record

Entity type Organization (Type 2)
Legal business name Southlake Obgyn LLC
Practice address 811 South Lake Drive, Lexington, SC, 29072
Fax (803) 520-7584
Enumeration date Apr 6, 2006
Last updated in NPPES Aug 7, 2012

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Traci Garnett
Title Office Manager

Other identifiers

Identifier Type State Issuer
GP3626 Medicaid SC -

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 2012-08-07. Verify at npiregistry.cms.hhs.gov.
Where is Southlake Obgyn LLC located?
The practice location on file with NPPES is in Lexington, SC.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-07.