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NPI Code Detail

MEDICARE: KARL B KING AAC

MEDICARE: KARL B KING AAC
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
1367H00000XAnesthesiologist Assistant1604GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326094210
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARL B KING AAC
Provider Business Mailing Address
First Line : 4658 WINDSOR DR
Second Line :
City : FLOWERY BRANCH
State : GA
Zip : 30542-3681
Country : US
Telephone Number : 404-542-4768
Fax Number :
Provider Business Practice Location Address
First Line : 11705 MERCY BLVD
Second Line :
City : SAVANNAH
State : GA
Zip : 31419-1711
Country : US
Telephone Number : 912-819-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 03/12/2024

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Directions to “ KARL B KING AAC” Practice Location

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