MEDICARE: STEVEN J KING MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	20022	AL
2	208000000X	Pediatrics Physician	20022	AL
3	2080P0206X	Pediatric Gastroenterology Physician	20022	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	051534023	OTHER	AL	BLUE CROSS PROVIDER #

General Provider Information

NPI Number	:	1861422396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN J KING MD

Provider Business Mailing Address
First Line	:	2001 FIELDSTOWN ROAD
Second Line	:
City	:	MOUNT OLIVE
State	:	AL
Zip	:	35117-4628
Country	:	US
Telephone Number	:	205-285-2095
Fax Number	:	205-285-2093

Provider Business Practice Location Address
First Line	:	2001 FIELDSTOWN ROAD
Second Line	:
City	:	GARDENDALE
State	:	AL
Zip	:	35117-4628
Country	:	US
Telephone Number	:	205-285-2095
Fax Number	:	205-285-2093

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	06/12/2013

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Directions to “ STEVEN J KING MD” Practice Location

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