Provider Information for 1295448660
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
GEORGE KING Jr.
Sex: Male
NPI: 1295448660
Last Updated: 2024-06-21
Certification Date: 2024-06-21
Certification Date: 2024-06-21
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1295448660 | ||||||||||||||
| Enumeration Date | 2023-01-02 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 5993 S FORK DR HOOVER, AL 35244-5410 United States Phone: 205-585-7776 | Fax: | ||||||||||||||
| Primary Practice Address | 5993 S FORK DR HOOVER, AL 35244-5410 United States Phone: 205-585-7776 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||
| Health Information Exchange |
| ||||||||||||||
| Other Identifiers |
| ||||||||||||||
| Taxonomy |
|