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Organization

JASON A. KING, PH.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON KING PH.D. (MANAGING MEMBER)
(770) 933-4130
Entity
Organization

Contact information

Practice address
1775 THE EXCHANGE SE, SUITE 327, ATLANTA, GA 30339-2016
(770) 933-4130
(770) 933-4135
Mailing address
1775 THE EXCHANGE SE, SUITE 327, ATLANTA, GA 30339-2016
(770) 933-4130
(770) 933-4135

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY002888
GA

Other

Enumeration date
09/13/2006
Last updated
08/22/2020
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