Individual
CODY LEE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 674-1209
Mailing address
107 PROVIDENCE RD, LAMAR, SC 29069-8630
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
213124
—
Other
Enumeration date
11/11/2022
Last updated
06/18/2023
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