Glen R King, M.D.
Family Medicine in Cartersville, GA. Individual provider (NPI-1).
NPI number1750518023
StatusActive
Last updated in NPPESDec 21, 2012
Details
- NPI
- 1750518023
- Entity type
- Individual (NPI-1)
- Name
- Glen R King
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2009
- Last updated
- Dec 21, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 33127 | GA | Yes |
Practice location
40 Fox ChaseCartersville, GA 30120-2491
Phone 770-382-0185 · Fax 770-382-0247
Mailing address
Po Box 2016Cartersville, GA 30120-1684
Phone 770-382-0185 · Fax 770-382-0247
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