Individual
JORDON CHRISTOPHER KELSEY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
MMSC
Contact information
Practice address
3001 MERCER UNIVERSITY DR, ATLANTA, GA 30341-4115
(678) 547-6305
Mailing address
3104 GALANGALE WAY, DORAVILLE, GA 30340-4610
(425) 870-2298
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12468
GA
Other
Enumeration date
06/07/2024
Last updated
10/17/2024
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