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Lake Marion Primary Care

Cardiovascular Disease Physician in Manning, SC · enumerated 2006 · authorized official Saundra Wallace, Administrator.

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

National Provider Identifier

1912964479

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Marion Primary Care
Practice address 15 E Hospital St, Manning, SC, 29102
Phone (803) 435-2529
Fax (803) 435-4196
Enumeration date Apr 27, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 13275 (SC) Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 20345 (SC) Primary

Authorized official

Name Saundra Wallace
Title Administrator
Phone (803) 435-2529

Other identifiers

Identifier Type State Issuer
GP2178 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 2025-09-11. Verify at npiregistry.cms.hhs.gov.
Where is Lake Marion Primary Care located?
The practice location on file with NPPES is in Manning, SC.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.