Individual
ANNIE RUTH DENNIS-KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1120 15TH ST # BI-3088, AUGUSTA, GA 30912-0004
(706) 721-3071
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8993
GA
Other
Enumeration date
10/10/2018
Last updated
01/03/2019
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