Individual
BRIAN JAMES KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1940 STONEGATE DR STE 130, VESTAVIA HLS, AL 35242-2541
(205) 977-9876
Mailing address
1940 STONEGATE DR STE 130, VESTAVIA HLS, AL 35242-2541
(205) 977-9876
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
36855
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36855
AL MEDICAL LICENSE
AL
01
—
59729
MN MEDICAL LISCENCE
MN
Enumeration date
04/03/2014
Last updated
07/11/2020
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