Individual
JASON THOMAS KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-3640
Mailing address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(601) 832-5490
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37693
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
AL
Other
Enumeration date
04/04/2017
Last updated
05/21/2019
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