Organization
KING'S PRIMARY CARE & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWANA KING MA (OWNER)
(678) 398-1360
Entity
Organization
Contact information
Practice address
4760 AUSTELL RD, 5, AUSTELL, GA 30106-2007
(678) 398-1360
(678) 398-1362
Mailing address
4760 AUSTELL RD, 5, AUSTELL, GA 30106-2007
(678) 398-1360
(678) 398-1362
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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