Individual
STUART C KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12 CEDAR COVE CT, DAUFUSKIE ISLAND, SC 29915-9043
(217) 714-9573
Mailing address
12 CEDAR COVE CT, DAUFUSKIE ISLAND, SC 29915-9043
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036-114407
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036-114407
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790764462 1
—
IL
01
—
P00329841
RAILROAD MEDICARE
IL
Enumeration date
01/11/2006
Last updated
07/14/2025
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