Tyrone D Wallace (NPI# 1780633420, PAC ID# 1557541224) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1780633420 |
| PAC ID by PECOS | 1557541224 |
| Professional Enrollment ID | I20110404000657 |
| Full Name | Tyrone D Wallace |
| Address |
263 Kelley St Suite 100 Lake City SC 29560-2472 |
| Gender | M |
| Medical School | SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC |
| Graduation Year | 1994 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 263 Kelley St, Suite 100, Lake City, SC 29560-2472 |
| Street Address |
263 KELLEY ST SUITE 100 |
| City | LAKE CITY |
| State | SC |
| Zip | 29560-2472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Jewell | Psychiatry | Primecare of The Lower Pee Dee LLC | 263 Kelley St, Suite 100, Lake City, SC 29560-2472 |
| Angel Thompson | Nurse Practitioner | Primecare of The Lower Pee Dee LLC | 263 Kelley St, Suite 100, Lake City, SC 29560-2472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen W Askins | Family Medicine | Lower Florence County Hospital. | 334 Mercy St, Lake City, SC 29560-2332 |
| Amanda F Mcconnell | Physician Assistant | Lower Florence County Hospital. | 334 Mercy St, Lake City, SC 29560-2332 |
| Nabil Abdalla Fam | General Surgery | Lower Florence County Hospital. | 334 Mercy St, Lake City, SC 29560-2332 |
| Toney Graham Iii | Internal Medicine | Lower Florence County Hospital. | 334 Mercy St, Lake City, SC 29560-2332 |
| Bonita D Johnson | Nurse Practitioner | Hopehealth, Inc. | 241 Kelley St, Lake City, SC 29560-2446 |
| Navdeep K Singh | Family Medicine | Hopehealth, Inc. | 241 Kelley St, Lake City, SC 29560-2446 |
| Michael Paul Weisgerber | Optometry | Coastal Eye Group, P.C. | 123 Epps St, Lake City, SC 29560-2449 |
| Edwin L Gandy | Emergency Medicine | Lower Florence County Hospital | 276 N Ron Mcnair Blvd, Lake City, SC 29560-2462 |
| Samuel William Polen | Emergency Medicine | Lower Florence County Hospital. | 258 N Ron Mcnair Blvd, Lake City, SC 29560-2462 |
| Johnny W Trogdon | Internal Medicine | Lower Florence County Hospital. | 258 N Ron Mcnair Blvd, Lake City, SC 29560-2462 |
| Find all physicians in zip 29560 | |||
| City | LAKE CITY |
| Zip Code | 29560 |
| Specialty | CHIROPRACTIC |
| City + Specialty | LAKE CITY + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.