Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LAWRENCE WALLACE, MD, PT
ActiveMR. LAWRENCE WALLACE, MD, PT is a Physical Therapy Assistant healthcare provider located in NORTH MYRTLE BEACH, South Carolina. NPI 1679567192 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · NORTH MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1679567192
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2005 (20.736358307909 yrs)
- Last Updated
- Jan 26, 2026
- Licenses
-
MD439714 (PA)P2177 (NC)0101234728 (VA)11194 (SC)
Practice Information
- Address
-
1021 2ND AVE N STE 6NORTH MYRTLE BEACH, SC, 295823200Browse SC providers · Browse ZIP 29582
- Phone
- 8432865168
- Fax
- 8443188980
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in NORTH MYRTLE BEACH, SC
| Name | Credential | NPI |
|---|---|---|
| KRISTIN L HETER | — | 1194782920 |
| MRS. JOY V. COLLINS | P.T. | 1598716417 |
| MR. HARRY B. DOUGLAS | P.T. | 1487606000 |
| MARY K TELETCHEA | MSPT | 1588604771 |
| MRS. ASHLEY PATE GOLDSTON | PT | 1245273762 |
| PHYLLIS D WALKER | P.T. | 1295865509 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.