Individual
KARL B KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAC
Contact information
Practice address
11705 MERCY BLVD, SAVANNAH, GA 31419-1711
(912) 819-4100
Mailing address
4658 WINDSOR DR, FLOWERY BRANCH, GA 30542-3681
(404) 542-4768
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1604
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170188387B
—
GA
05
—
170188387C
—
GA
Enumeration date
05/25/2006
Last updated
03/12/2024
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