Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kingstree Family Medicine PA

Organization Family Medicine Physician · NPI 1841286192

Kingstree Family Medicine PA is a Family Medicine Physician in Kingstree, South Carolina. Licensed in South Carolina. Registered with an NPI since 2005.

Licensed in
SC
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

512 Nelson Blvd Ste 200
Kingstree, SC 29556-4027
Phone: (843) 355-5459
Fax: (843) 355-9704
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11529 (SC)

Record details

NPI number1841286192
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Allen — President · (843) 355-5459
NPI enumeratedSeptember 22, 2005
Last updated in NPPESJune 3, 2008
Mailing address512 Nelson Blvd, Suite 200, Kingstree, SC 29556-4027

Other providers in Kingstree