Individual
MRS. LAKEYSHIA NIX KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1600 FORSYTH ST, MACON, GA 31201-1408
(478) 745-0411
(478) 749-0101
Mailing address
201 2ND ST STE 1100, MACON, GA 31201-6328
(229) 291-0900
(478) 751-6099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN217598
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003183911G
—
GA
Enumeration date
10/26/2016
Last updated
06/29/2022
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