Individual
DEMETRIUS KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7316 SPOUT SPRINGS RD STE 103, FLOWERY BRANCH, GA 30542-5671
(888) 805-0759
Mailing address
6045 EAGLE CLOSE LN, SUGAR HILL, GA 30518-7435
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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