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Organization
KING PODIATRY AND ASSOCIATES PLLC
Active
Organization
KING PODIATRY AND ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CHRISTAIN KING DPM (OWNER)
(252) 338-2111
Entity
Organization
Contact information
Practice address
1121 N ROAD ST STE B, ELIZABETH CITY, NC 27909-3470
(252) 338-2111
(252) 338-2113
Mailing address
1121 N ROAD ST STE B, ELIZABETH CITY, NC 27909-3470
(252) 338-2111
(252) 338-2113
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019RE
BCBS OF NC
—
01
—
1124025846
RAILROAD MEDICARE
—
01
—
480003447
RR MEDICARE
NC
01
—
480003447
RAILROAD MEDICARE
—
05
—
7908112
—
NC
Enumeration date
10/18/2007
Last updated
07/28/2015
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