Individual
DR. OLIVER W. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
61 WHITCHER STREET NE, SUITE 2100, MARIETTA, GA 30060-1179
(770) 423-0595
(770) 874-1614
Mailing address
1505 STONEBRIDGE PARKWAY, SUITE 100, WOODSTOCK, GA 30189-8282
(770) 423-0595
(770) 874-1614
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D29931
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00085775E
—
AR
Enumeration date
08/26/2005
Last updated
04/11/2012
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