Individual
STEPHEN MARK KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 TIMMS RD NE, CALHOUN, GA 30701-7016
(706) 602-3100
(706) 602-3101
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703
(706) 602-7800
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
057874
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179692697E
—
GA
05
—
179692697H
—
GA
05
—
179692697I
—
GA
Enumeration date
07/03/2006
Last updated
12/18/2018
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