Individual
MR. BRANDON VIRDELL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA, CSFA
Contact information
Practice address
55 ATLANTA ST SE STE 204, MARIETTA, GA 30060-1977
(678) 517-3428
(770) 485-1534
Mailing address
PO BOX 81, MARIETTA, GA 30061-0081
(678) 517-3428
(770) 485-1534
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/25/2009
Last updated
11/24/2021
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