Individual
DR. SPENCER B KING III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5669 PEACHTREE DUNWOODY RD. NE, SUITE 315, ATLANTA, GA 30342-1736
(678) 843-6400
(678) 843-6405
Mailing address
1838 AMERICAN WAY, LAWRENCEVILLE, GA 30043-6611
(770) 995-7622
(770) 995-7854
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
010213
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000652253F
—
GA
05
—
000652253G
—
GA
05
—
000652253H
—
GA
Enumeration date
01/25/2007
Last updated
03/21/2013
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