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Individual

DR. TERRY A KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4500 FOREST DR, COLUMBIA, SC 29206-3105
(803) 738-9522
(803) 787-8026
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 758-2600
(803) 253-8896

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11428
SC
207Q00000X
Family Medicine Physician
Primary
11428
SC
208D00000X
General Practice Physician
11428
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114281
SC
Enumeration date
04/26/2006
Last updated
01/24/2014
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