Individual
DR. HOLTON S KING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
118 VISION DR, CORNELIA, GA 30531-5737
(706) 776-6311
(706) 776-7243
Mailing address
118 VISION DR, CORNELIA, GA 30531-5737
(706) 776-6311
(706) 776-7243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1106
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00515545B
—
GA
Enumeration date
10/06/2005
Last updated
02/21/2011
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