Individual
DONNA EDMOND-KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1712-C EAST BROAD AVENUE, ALBANY, GA 31705
(229) 639-3103
(229) 888-8935
Mailing address
204 N WESTOVER BLVD, ALBANY, GA 31707-2983
(229) 888-6559
(229) 436-4107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
044711
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000777378A
—
GA
01
—
370010386
RR MCARE
GA
01
—
4512970
AETNA
GA
01
—
727446
BCBS
GA
Enumeration date
09/07/2006
Last updated
07/08/2007
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