Physical Therapist
Mr. LAWRENCE WALLACE MD, PT
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1679567192 · enumerated 2005-09-12 · record updated 2026-01-26. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1021 2ND AVE N STE 6, NORTH MYRTLE BEACH, SC, 29582-3200 (843) 286-5168 Fax (844) 318-8980 Google Maps Apple Maps OpenStreetMap
- Practice location 1021 2ND AVE N STE 6, NORTH MYRTLE BEACH, SC, 29582-3200 (843) 286-5168 Fax (844) 318-8980 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery 207X00000X · License MD439714 PA
- Physical Therapist 225100000X · License P2177 NC
- Orthopaedic Surgery 207X00000X · License 0101234728 VA
- Physical Therapist 225100000X · Primary · License 11194 SC
In this directory
Locations and evidence
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Practice location
NORTH MYRTLE BEACH, SC, 295823200
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.