MEDICARE: DR. MARSHALEEN N. HENRIQUES 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	056564	GA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	056564	GA
3	207RP1001X	Pulmonary Disease Physician	103386	MN
4	207RP1001X	Pulmonary Disease Physician	056564	GA

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	:	1558347807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARSHALEEN N. HENRIQUES KING MD

Provider Business Mailing Address
First Line	:	6001 PROFESSIONAL PKWY STE 2020
Second Line	:
City	:	DOUGLASVILLE
State	:	GA
Zip	:	30134-5632
Country	:	US
Telephone Number	:	770-422-1372
Fax Number	:	678-715-4910

Provider Business Practice Location Address
First Line	:	6001 PROFESSIONAL PKWY STE 2020
Second Line	:
City	:	DOUGLASVILLE
State	:	GA
Zip	:	30134-5632
Country	:	US
Telephone Number	:	770-422-1372
Fax Number	:	678-715-4910

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

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	12/17/2020

Similar Medicare Providers

1376549469 — DR. DAVID S HEMMINGS M.D.
Practice Location Address:

6001 PROFESSIONAL PKWY , SUITE 2040
DOUGLASVILLE, GA
30134-5632

Practice Phone: 678-838-9999
Practice Fax: 678-838-9474

1093711186 — DR. STEPHEN D TEDDER M.D.
Practice Location Address:

6001 PROFESSIONAL PKWY , SUITE 2040
DOUGLASVILLE, GA
30134-5632

Practice Phone: 678-838-9999
Practice Fax: 678-838-9474

1902870751 — DOUGLASVILLE EYE CLINIC PC
Practice Location Address:

6001 PROFESSIONAL PKWY , SUITE 2040
DOUGLASVILLE, GA
30134-5632

Practice Phone: 678-838-9999
Practice Fax: 678-838-9474

1881768455 — MRS. INGER DALPHINE MCCOY NP-C
Practice Location Address:

6001 PROFESSIONAL PKWY STE 2080
DOUGLASVILLE, GA
30134-5632

Practice Phone: 678-715-5080
Practice Fax: 770-528-9938

1013192384 — SAFAL SHETTY MD
Practice Location Address:

6001 PROFESSIONAL PKWY STE 2020
DOUGLASVILLE, GA
30134-5632

Practice Phone: 770-422-1372
Practice Fax:

1144466426 — DR. JARED GREGORY BREYLEY M.D.
Practice Location Address:

6001 PROFESSIONAL PKWY STE 2080
DOUGLASVILLE, GA
30134-5632

Practice Phone: 678-715-5080
Practice Fax:

Directions to “ DR. MARSHALEEN N. HENRIQUES KING MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.