Organization
RICHARD W KING JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REITA KING (PART OWNER)
(678) 303-3200
Entity
Organization
Contact information
Practice address
2550 WINDY HILL RD SE, SUITE 110, MARIETTA, GA 30067-8665
(678) 303-3200
(678) 303-3205
Mailing address
2550 WINDY HILL RD SE, SUITE 110, MARIETTA, GA 30067-8665
(678) 303-3200
(678) 303-3205
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
31517
GA
208100000X
Physical Medicine & Rehabilitation Physician
021872
GA
225400000X
Rehabilitation Practitioner
GA021872
GA
Other
Enumeration date
03/07/2008
Last updated
06/10/2014
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