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NPI Code Detail

MEDICARE: ANGELA WALKER KING

MEDICARE:   ANGELA WALKER KING
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
11041C0700XClinical Social WorkerP015862NC

General Provider Information

NPI Number : 1811753494
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA WALKER KING
Provider Business Mailing Address
First Line : 1715 GORDON ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-5107
Country : US
Telephone Number : 336-988-2178
Fax Number :
Provider Business Practice Location Address
First Line : 1715 GORDON ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-5107
Country : US
Telephone Number : 336-988-2178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2024
Last Update Date : 02/22/2024

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Directions to “ ANGELA WALKER KING ” Practice Location

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