SearchSouth Carolina207Q00000X

Laurie Wallace, DO

NPI 1831686369 · on the registry since 2018

Practice

Address
1268 Nexton Pkwy Ste 104
Summerville, SC 29486
Phone
(843) 212-8080
Fax
(843) 402-2681
Organisation at this address
Roper Saint Francis Physicians Network
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Additional practice sites

  • 5801 Defense Pentagon, Washington, DC

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
Licence states on file
NE, SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina