Individual
MR. HAROLD DWAYNE KING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.C
Contact information
Practice address
4400 FALCON PKWY, FLOWERY BRANCH, GA 30542-3176
(770) 965-2754
(770) 965-2616
Mailing address
4400 FALCON PKWY, FLOWERY BRANCH, GA 30542-3176
(770) 965-2754
(770) 965-2616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000151
GA
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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