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Individual

TERESA KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5402
(225) 761-5259
Mailing address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5402
(225) 761-5259

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
201493
LA

Other

Enumeration date
05/22/2007
Last updated
10/30/2007
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