Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURIE MEAGAN WALLACE, DO
ActiveLAURIE MEAGAN WALLACE, DO is a Family Medicine healthcare provider located in SUMMERVILLE, South Carolina. NPI 1831686369 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SUMMERVILLE, SC
Registration Details
- NPI Number
- 1831686369
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2018 (8.306505359608 yrs)
- Last Updated
- May 7, 2025
- Licenses
-
2075 (NE)93547 (SC)
Practice Information
- Address
-
1268 NEXTON PKWY STE 104SUMMERVILLE, SC, 294862167Browse SC providers · Browse ZIP 29486
- Phone
- 8432128080
- Fax
- 8434022681
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SUMMERVILLE, SC
| Name | Credential | NPI |
|---|---|---|
| SILVESTRO J LIJOI | D.O. | 1780679118 |
| CLAUDIUS STUART DAWSON III | M.D. | 1780675306 |
| CLARENCE WILLIAM WIMBERLY JR. | MD | 1932190139 |
| BONNIE L. CRICKMAN | MD | 1740261726 |
| OTIS EDWARD ENGELMAN | MD | 1730145509 |
| SKYE NICOLE DEBERRY | MD | 1710943584 |
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.