Individual
MS. VANESSA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST, CPC-A
Contact information
Practice address
145 FOREST HALL LN, FAYETTEVILLE, GA 30214-4025
(770) 987-9228
(770) 629-2380
Mailing address
PO BOX 142765, FAYETTEVILLE, GA 30214-6520
(770) 987-9228
(770) 629-2380
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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