Individual
EDWARD NICHOLAS KING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
BLDG 4-2817 BIX 281 FORT BRAGG, WOMACK ARMY MEDICAL CENTER (WAMC), FAYETTEVILLE, NC 28310-2614
(910) 868-1296
Mailing address
408 DUNMORE RD, FAYETTEVILLE, NC 28303-2614
(910) 868-1296
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103267
NC
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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