Individual
KING C LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 713-4216
Mailing address
PO BOX 602658, M204, CHARLOTTE, NC 28260-2658
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M5815
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810023009
—
WV
Enumeration date
01/09/2008
Last updated
06/18/2012
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