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Individual

TERRENCE R KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
VA VICTIM ADVOCATE

Contact information

Practice address
31 MOUNTAIN SPRINGS CV, DALLAS, GA 30157-1217
(888) 635-1022
(833) 390-1531
Mailing address
31 MOUNTAIN SPRINGS CV, DALLAS, GA 30157-1217
(888) 635-1022
(833) 367-0119

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
GA
172V00000X
Community Health Worker
GA
3747A0650X
Attendant Care Provider
GA

Other

Enumeration date
08/20/2024
Last updated
10/14/2025
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