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KINGSTREE SURGICAL ASSOCIATES
NPI 1962691022
Surgery in Kingstree, SC

Active since October 15, 2007
135 N ACADEMY ST, KINGSTREE, SC 29556(803) 731-8393 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kingstree Surgical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINGSTREE SURGICAL ASSOCIATES (NPI 1962691022) is a healthcare organization registered as a surgery in Kingstree, South Carolina and active in the NPI registry since October 2007. The organization lists Blake H Moore, President, as its authorized official.

NPPES Registry Identity

NPI1962691022
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameKINGSTREE SURGICAL ASSOCIATES
Location Address135 N ACADEMY STKingstree, SC 29556-3421
Mailing Address135 N Academy StKingstree, SC 29556-3421 · (803) 731-8393
Phone(803) 731-8393
Organization SubpartNo
Authorized OfficialBlake H MoorePresident · (843) 355-5462
Enumeration DateOctober 15, 2007
Last NPPES UpdateMarch 7, 2023
✔ NPI 1962691022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in SC · 21490
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
135 N ACADEMY ST, Kingstree, SC 29556
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Other Identifiers 2

Other21490SC · License
MedicaidT56301SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kingstree Surgical Associates's NPI number?

The NPI number for Kingstree Surgical Associates is 1962691022. It was assigned to this organization in the NPPES registry on October 15, 2007.

Where is Kingstree Surgical Associates located?

Kingstree Surgical Associates is located at 135 N Academy St, Kingstree, SC 29556. The listed phone number is (803) 731-8393.

What is Kingstree Surgical Associates's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Kingstree Surgical Associates was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.