Organization
PAUL KING MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL KING MD (PHYSICIAN)
(662) 893-7101
Entity
Organization
Contact information
Practice address
9075 SANDIDGE CENTER DR, OLIVE BRANCH, MS 38654
(662) 893-7101
(662) 895-4403
Mailing address
PO BOX 341065, MEMPHIS, TN 38184
(901) 385-2342
(901) 382-0140
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
10676
TN
2084P0800X
Psychiatry Physician
Primary
12763
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00853276
—
MS
05
—
16134
—
MS
Enumeration date
09/29/2006
Last updated
01/04/2008
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