Individual
DR. HOLLIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 E. HWY 5, ROOPVILLE, GA 30170
(770) 328-7738
Mailing address
840 E. HWY 5, ROOPVILLE, GA 30170
(770) 328-7738
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC 004314
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11664484
CAQH IDENTIFICATION
—
Enumeration date
01/23/2007
Last updated
04/07/2020
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