Individual
MR. KEITH KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3540 WHEELER RD STE 107, AUGUSTA, GA 30909-1876
(706) 495-4902
(706) 496-8541
Mailing address
3540 WHEELER RD, AUGUSTA, GA 30909-1871
(706) 495-4902
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014716
GA
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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