Organization
KING PODIATRY AND ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CHRISTAIN KING DPM (OWNER)
(252) 338-2111
Entity
Organization
Contact information
Practice address
1121 N ROAD ST STE B, ELIZABETH CITY, NC 27909-3470
(252) 338-2111
(252) 338-2113
Mailing address
1121 N ROAD ST STE B, ELIZABETH CITY, NC 27909-3470
(252) 338-2111
(252) 338-2113
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019RE
BCBS OF NC
—
01
—
1124025846
RAILROAD MEDICARE
—
01
—
480003447
RR MEDICARE
NC
01
—
480003447
RAILROAD MEDICARE
—
05
—
7908112
—
NC
Enumeration date
10/18/2007
Last updated
07/28/2015
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