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Individual

LELAND H KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1800 ROBERTS ST, CAMDEN, SC 29020-3759
(803) 432-6186
(803) 432-1177
Mailing address
PO BOX 1259, SENTINEL HEALTH PARTNERS PA BUSINESS OFFICE, CAMDEN, SC 29021-1259
(803) 713-8350
(803) 713-8433

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20681
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160039437
RAILROAD MEDICARE PIN
SC
01
81728
MEDCOST PIN
05
T46279
SC
Enumeration date
06/06/2006
Last updated
02/24/2012
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