Individual
LAUREN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
285 BOULEVARD NE STE 235, ATLANTA, GA 30312-4200
(404) 525-0633
Mailing address
285 BOULEVARD NE STE 235, ATLANTA, GA 30312-4200
(404) 525-0633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
78063
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2014
Last updated
03/16/2023
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