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Individual

MRS. SANDRA M KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1310 NEW SALEM RD, MONROE, NC 28110-9696
(704) 242-0036
Mailing address
1310 NEW SALEM RD, MONROE, NC 28110-9696
(704) 242-0036

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22879
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7910030
NC
05
N22879
SC
Enumeration date
12/05/2005
Last updated
03/21/2024
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