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NPI Code Detail

MEDICARE: LINDSAY NICHOLE KING PA

MEDICARE: LINDSAY NICHOLE KING PA
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
1363A00000XPhysician Assistant9415GA

General Provider Information

NPI Number : 1114575222
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY NICHOLE KING PA
Provider Business Mailing Address
First Line : 506 DRIFTON WAY
Second Line :
City : WOODSTOCK
State : GA
Zip : 30188-3623
Country : US
Telephone Number : 770-841-0070
Fax Number :
Provider Business Practice Location Address
First Line : 3200 DOWNWOOD CIR NW STE 700
Second Line :
City : ATLANTA
State : GA
Zip : 30327-5308
Country : US
Telephone Number : 404-355-0743
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2019
Last Update Date : 06/18/2026

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Directions to “ LINDSAY NICHOLE KING PA” Practice Location

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