Individual
CAROLYN JAN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11092 DOVE DR, MADISON, AL 35756-4300
(810) 908-9339
Mailing address
11092 DOVE DR, MADISON, AL 35756-4300
(810) 908-9339
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1984
AL
Other
Enumeration date
08/18/2008
Last updated
03/06/2009
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