| Lake Marion Primary Care | |
|
15 E Hospital St Manning SC 29102-3152 | |
| (803) 435-2529 | |
| (803) 435-4196 |
| Full Name | Lake Marion Primary Care |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 15 E Hospital St, Manning, South Carolina |
| Authorized Official Name and Position | Saundra Wallace (ADMINISTRATOR) |
| Authorized Official Contact | 8034352529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Marion Primary Care 15 E Hospital St Manning SC 29102-3152 Ph: (803) 435-2529 | Lake Marion Primary Care 15 E Hospital St Manning SC 29102-3152 Ph: (803) 435-2529 |
| NPI Number | 1912964479 |
|---|---|
| Provider Enumeration Date | 04/27/2006 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912964479 | NPI | - | NPPES |
| GP2178 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13275 (South Carolina) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 20345 (South Carolina) | Primary |
Hopehealth, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12 W South St, Manning, SC 29102 Phone: 803-433-4124 Fax: 803-433-0074 | |
Mcleod Physician Associates Ii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Bozard St, Manning, SC 29102 Phone: 803-435-8828 Fax: 803-435-2239 | |
Cypress Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Professional Ct, Manning, SC 29102 Phone: 803-433-5220 Fax: 803-433-5221 | |
Hopehealth Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2155 Paxville Hwy, Manning, SC 29102 Phone: 803-433-4321 | |
Clarendon Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 E Hospital St., Suite 100, Manning, SC 29102 Phone: 803-435-5212 Fax: 803-435-3389 | |
Clarendon Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Hospital St, Suite 4, Manning, SC 29102 Phone: 803-435-5250 Fax: 803-435-5255 | |
Clarendon Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Hospital St, Manning, SC 29102 Phone: 803-433-0439 Fax: 803-433-9840 |