Organization
SOUTHERN EMERGENCY PHYSICIANS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERIK K KING MD (LLP MANAGING PARTNER)
(866) 916-5259
Entity
Organization
Contact information
Practice address
1138 CHERAW HIGHWAY, BENNETTSVILLE, SC 29512-2466
(843) 479-2881
(843) 479-5860
Mailing address
PO BOX 602162, CHARLOTTE, NC 28260-2162
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5235
—
SC
Enumeration date
08/18/2009
Last updated
11/03/2009
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