Organization
KINGSLEY CLINIC OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KINGSLEY MD (OWNER)
(770) 580-1905
Entity
Organization
Contact information
Practice address
11720 AMBERPARK DR STE 160, ALPHARETTA, GA 30009-2271
(770) 580-1905
(912) 216-3703
Mailing address
33471 BILTMORE DR, TEMECULA, CA 92592-1849
(530) 305-7637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/19/2020
Last updated
01/31/2024
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