Individual
ELIZABETH ANN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
601 S 8TH ST, GRIFFIN, GA 30224-4213
(770) 228-2721
Mailing address
5665 NEW NORTHSIDE DR, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007038
GA
Other
Enumeration date
09/12/2013
Last updated
11/12/2015
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