Organization
UPSTATE HOMECARE MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A KING MD (OWNER)
(864) 654-6150
Entity
Organization
Contact information
Practice address
212 HORSE HEAD POINT DR, SENECA, SC 29672-8010
(864) 654-6150
Mailing address
212 HORSEHEAD POINT, SENECA, SC 29672-8010
(864) 654-6150
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
10288
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4621
—
SC
Enumeration date
02/07/2007
Last updated
08/26/2014
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