Individual
SHONDA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TRICHOLOGY
Contact information
Practice address
150 BUTLER ST STE D5-D7, MIDWAY, GA 31320-4575
Mailing address
PO BOX 641, MIDWAY, GA 31320-0641
(912) 463-2883
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
GA
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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