MEDICARE: GARLAND COFFIELD 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	207Q00000X	Family Medicine Physician	26449	NC

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

General Provider Information

NPI Number	:	1114957263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARLAND COFFIELD KING MD

Provider Business Mailing Address
First Line	:	56 MEDICAL PARK DR
Second Line	:	SUITE 301
City	:	FRANKLIN
State	:	NC
Zip	:	28734-2632
Country	:	US
Telephone Number	:	828-369-4407
Fax Number	:	828-369-4408

Provider Business Practice Location Address
First Line	:	56 MEDICAL PARK DR
Second Line	:	SUITE 301
City	:	FRANKLIN
State	:	NC
Zip	:	28734-2632
Country	:	US
Telephone Number	:	828-369-4407
Fax Number	:	828-369-4408

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

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	07/08/2007

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