MEDICARE: ROSA L KING M.D.

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	0101058550	VA

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	:	1346393378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSA L KING M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1430
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22803-1430
Country	:	US
Telephone Number	:	540-564-5644
Fax Number	:	540-564-6847

Provider Business Practice Location Address
First Line	:	9626 S CONGRESS ST STE B
Second Line	:
City	:	NEW MARKET
State	:	VA
Zip	:	22844-9450
Country	:	US
Telephone Number	:	540-740-3044
Fax Number	:	540-740-8456

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

Provider Enumeration Date	:	01/21/2007
Last Update Date	:	07/21/2022

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Directions to “ ROSA L KING M.D.” Practice Location

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