Individual
DWAYNE ANSEL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
132 B SUNSET COURT, WEST COLUMBIA, SC 29169-2429
(803) 796-5116
(803) 796-5131
Mailing address
132 B SUNSET COURT, WEST COLUMBIA, SC 29169-2429
(803) 796-5116
(803) 796-5131
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6563
SC
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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