Provider Demographics
NPI:1831608058
Name:KING, DANIEL S (DC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:S
Last Name:KING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:
Mailing Address - City:LANDRUM
Mailing Address - State:SC
Mailing Address - Zip Code:29356-0217
Mailing Address - Country:US
Mailing Address - Phone:864-457-4221
Mailing Address - Fax:864-457-1288
Practice Address - Street 1:108 W RUTHERFORD ST
Practice Address - Street 2:
Practice Address - City:LANDRUM
Practice Address - State:SC
Practice Address - Zip Code:29356-1526
Practice Address - Country:US
Practice Address - Phone:864-457-4221
Practice Address - Fax:864-457-1288
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-20
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4742111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor