Individual
MRS. KIMBERLY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5848 BELLINGRATH WAY, LITHONIA, GA 30058-3212
(770) 847-7700
(404) 393-9256
Mailing address
PO BOX 1651, LITHONIA, GA 30058-1010
(770) 847-7700
(404) 393-9256
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
04/16/2016
Last updated
04/16/2016
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