Provider Demographics
NPI:1982091237
Name:KING, ROBERT SCOTT (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:SCOTT
Last Name:KING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3200 MACCORKLE AVE SE
Mailing Address - Street 2:CAMC MEMORIAL HOSPITAL SURGICARE
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1227
Mailing Address - Country:US
Mailing Address - Phone:304-388-5590
Mailing Address - Fax:304-388-8238
Practice Address - Street 1:40 OKATIE CTR BLVD STE 350
Practice Address - Street 2:
Practice Address - City:OKATIE
Practice Address - State:SC
Practice Address - Zip Code:29909-7511
Practice Address - Country:US
Practice Address - Phone:843-706-2255
Practice Address - Fax:843-706-2257
Is Sole Proprietor?:No
Enumeration Date:2015-04-23
Last Update Date:2020-07-16
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Provider Licenses
StateLicense IDTaxonomies
SC83155208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology