King, Terry A

King, Terry A is an individual health care provider with primary practice located at 4500 Forest Dr , Columbia SC 29206-3105. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. King, Terry A can be contacted via phone (803) 738-9522.

Contact Information

Primary practice address
4500 Forest Dr Columbia SC 29206-3105
Phone: (803) 738-9522
Fax: (803) 787-8026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11428 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11428 South Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 11428 South Carolina

Profile Details

NPI number 1295792240
LBN Legal business name King, Terry A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jan 24th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295792240 NPPES
South Carolina MEDICAID 114281

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