Individual
DR. CHARLES CLINTON KING SR.
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
605 HONEYSUCKLE DR, ALBANY, GA 31705-9177
(229) 435-7732
(229) 439-0533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009643
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000247288-A
—
GA
Enumeration date
11/07/2006
Last updated
07/09/2007
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