Individual
GARTH THESIEGER KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 CYPRESS ST, SULPHUR, LA 70663-5053
(800) 893-9698
Mailing address
200 CORPORATE BLVD, STE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
200225
LA
207R00000X
Internal Medicine Physician
Primary
200225
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1058394
—
LA
Enumeration date
08/08/2006
Last updated
03/22/2013
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