Individual
CAROLINE ELIZABETH KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 610-8095
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 610-8095
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1380
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3113613
—
NH
Enumeration date
02/16/2017
Last updated
09/11/2018
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