Organization
SOUTHERN EMERGENCY PHYSICIANS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERIK K KING (LLP MANAGING PARTNER)
(866) 916-5259
Entity
Organization
Contact information
Practice address
10 E HOSPITAL ST, MANNING, SC 29102-3153
(803) 435-8463
Mailing address
PO BOX 602162, CHARLOTTE, NC 28260-2162
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5362
—
SC
Enumeration date
02/19/2010
Last updated
06/22/2010
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