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

Kingstree Surgical Associates

Organization Surgery Physician · NPI 1962691022

Kingstree Surgical Associates is a Surgery Physician in Kingstree, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007

Practice location Address checks out

135 N Academy St
Kingstree, SC 29556-3421
Phone: (803) 731-8393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 21490 (SC)

Record details

NPI number1962691022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blake Moore — President · (843) 355-5462
NPI enumeratedOctober 15, 2007
Last updated in NPPESMarch 7, 2023
Mailing address135 N Academy St, Kingstree, SC 29556-3421

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