Individual
DR. CHARLES CLINTON KING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
915 W HIGHLAND AVE, ALBANY, GA 31701-2735
(229) 435-0677
(229) 439-0533
Mailing address
915 W HIGHLAND AVE, ALBANY, GA 31701-2735
(229) 435-0677
(229) 439-0533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013147
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000881834D
—
GA
Enumeration date
11/06/2006
Last updated
06/18/2010
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