Organization
OUT OF THE BOX MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLA LYNETTE KING MD (OWNER)
(804) 286-9011
Entity
Organization
Contact information
Practice address
3076 GENERAL PULLER HIGHWAY, SALUDA, VA 23149-2314
(804) 286-9011
(804) 286-9275
Mailing address
PO BOX 1233, SALUDA, VA 23149-1233
(804) 286-9011
(804) 286-9275
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972636330
—
VA
Enumeration date
05/19/2021
Last updated
05/19/2021
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