KINGSTREE FAMILY MEDICINE PA

KINGSTREE, SC
NPI1841286192
Entity TypeOrganization
Authorized ContactRAYMOND KEELS ALLEN
President
843-355-5459
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  11529)
Enumeration Date2005-09-22
Last Update Date2008-06-03
Business Address
KINGSTREE FAMILY MEDICINE PA
512 NELSON BLVD SUITE 200
KINGSTREE, SC 29556-4027
Phone number: 843-355-5459
Mailing Address
KINGSTREE FAMILY MEDICINE PA
512 NELSON BLVD SUITE 200
KINGSTREE, SC 29556-4027
Phone number: 843-355-5459
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