Individual
TERRY DEAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PAVILION RD, WEST MONROE, LA 71292-9470
(318) 323-1100
(318) 323-1161
Mailing address
300 PAVILION RD, WEST MONROE, LA 71292-9470
(318) 323-1100
(318) 323-1161
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
MD.02443R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017835
—
MS
05
—
1109487
—
LA
05
—
1442399
—
LA
Enumeration date
03/15/2006
Last updated
10/06/2015
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