Individual
DR. RICHARD W KING JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2550 WINDY HILL RD SE, MARIETTA, GA 30067-8607
(678) 303-3200
(678) 303-3205
Mailing address
2550 WINDY HILL RD SE SUITE 110, MARIETTA, GA 30067-8607
(678) 303-3200
(678) 303-3205
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
021872
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00271312C
—
GA
Enumeration date
03/15/2006
Last updated
07/08/2007
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