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Individual

MERRITT H. KING III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3980 HIGHWAY 9 E, SUITE 110, LITTLE RIVER, SC 29566-8163
(843) 399-3100
(843) 399-1099
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7042
(843) 777-7102

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36446
SC
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2009-00460
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
276204
MEDCOST
SC
01
30170356
SELECT HEALTH
SC
01
3550395
CIGNA
SC
05
364466
SC
01
938098
WELLCARE (LORIS LOCATION)
SC
01
969443
WELLCARE (LITTLE RIVER LOCATION)
SC
01
P01298179
RAILROAD MEDICARE
SC
01
SC26908552
MEDICARE PTAN
SC
Enumeration date
07/10/2007
Last updated
12/23/2024
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