Individual
BRETT T KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
208 TOWNE OVERLOOK DR, CANTON, GA 30114-7239
(678) 880-7621
Mailing address
208 TOWNE OVERLOOK DR, CANTON, GA 30114-7239
(678) 880-7621
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN136142
GA
Other
Enumeration date
08/14/2007
Last updated
03/09/2010
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