Richard W. King Jr, Md

NPI 1154640209 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1154640209
Enumeration Date 05/27/2010
Last Updated 05/27/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ELIZABETH R ELIZABETH
Position REIMBURSEMENT DIRECTOR
Phone (678) 303-3200
Fax (678) 303-3205
Practice Location
500 MEDICAL CENTER BLVD
SUITE 170
LAWRENCEVILLE GA, 30046-8708, US
Phone (678) 303-3200
Fax (678) 303-3205
Business Location
2550 WINDY HILL RD SE
SUITE 110
MARIETTA GA, 30067-8665, US
Phone (678) 303-3200
Fax (678) 303-3205
Toxanomy
Taxonomy Code 225400000X
License State Georgia
License Number 021872
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According to our database, Richard W. King Jr, Md NPI is 1154640209, taxonomy code is 225400000X and license number is 021872, license state is located at Georgia. Richard W. King Jr, Md physically located at 500 Medical Center Blvd, Lawrenceville GA, 30046-8708. NPI Number 1033115704 has the healthcare provider type.

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1154640209 NPI number is provided on an as is basis without warranty of any kind. 1154640209 is maintained by the National Plan & Provider Enumeration System. The contents of Richard W. King Jr, Md are for informational purposes only.