Individual
DR. MARSHALEEN N. HENRIQUES KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6001 PROFESSIONAL PKWY STE 2020, DOUGLASVILLE, GA 30134-5632
(770) 422-1372
(678) 715-4910
Mailing address
6001 PROFESSIONAL PKWY STE 2020, DOUGLASVILLE, GA 30134-5632
(770) 422-1372
(678) 715-4910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
056564
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
056564
GA
207RP1001X
Pulmonary Disease Physician
Primary
056564
GA
207RP1001X
Pulmonary Disease Physician
103386
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926450000
—
MN
Enumeration date
12/19/2005
Last updated
12/17/2020
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