Individual
GLEN R KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 FOX CHASE, CARTERSVILLE, GA 30120-2491
(770) 382-0185
(770) 382-0247
Mailing address
PO BOX 2016, CARTERSVILLE, GA 30120-1684
(770) 382-0185
(770) 382-0247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33127
GA
Other
Enumeration date
06/15/2009
Last updated
12/21/2012
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