Individual
MR. EVAN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
52 PIONEER TRL, MARIETTA, GA 30068
(256) 601-6794
Mailing address
52 PIONEER TRL, MARIETTA, GA 30068-3400
(256) 601-6794
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN234991
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN234991
REGISTERED NURSE
GA
Enumeration date
08/01/2017
Last updated
07/21/2022
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