Individual
MARTHA ANNE DEBERRY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 GARDENIA RD, CHARLESTON, SC 29407-5212
(843) 687-9967
Mailing address
1514 GARDENIA RD, CHARLESTON, SC 29407-5212
(843) 687-9967
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
LL39874
SC
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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