Individual
DR. MILDRED ANNE KINGHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22137 EAST TERN COURT, FORT MILL, SC 29715
(843) 295-1315
Mailing address
22137 EAST TERN COURT, FORT MILL, SC 29715
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26510
SC
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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