Individual
CHASE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
245 HOLSTON RD STE B, WYTHEVILLE, VA 24382-4486
(276) 227-0460
(276) 227-0711
Mailing address
245 HOLSTON RD STE B, WYTHEVILLE, VA 24382-4486
(276) 227-0460
(276) 227-0711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102204971
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
03/26/2019
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