Individual
RICKEY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-6706
(478) 633-5384
Mailing address
7152 COCA SABAL LN, FORT MYERS, FL 33908-4263
(239) 985-0215
(305) 675-3378
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
791318
NY
367500000X
Certified Registered Nurse Anesthetist
ARNP9448508
FL
367500000X
Certified Registered Nurse Anesthetist
RN138591
GA
Other
Enumeration date
04/16/2007
Last updated
02/09/2026
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