Individual
GERALD W KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
581 LEROY GEORGE DR, SUITE 300, CLYDE, NC 28721-8085
(828) 452-4131
(828) 452-4095
Mailing address
581 LEROY GEORGE DR, SUITE 300, CLYDE, NC 28721-8085
(828) 452-4131
(828) 452-4095
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2007-01605
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
037254
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2007-01605
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1562K
BCBS OF NC
NC
01
—
2184201
CIGNA
NC
05
—
5908322
—
NC
Enumeration date
07/06/2006
Last updated
10/04/2013
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