Individual
DR. CHARLES PHILLIP KING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
803 BRUSHY CREEK RD, EASLEY, SC 29642-2203
(864) 855-2793
Mailing address
803 BRUSHY CREEK RD, EASLEY, SC 29642-2203
(864) 855-2793
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3814
SC
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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