Provider Information for 1447587399
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
GEORGIA GORDON KING LCSW
Sex: Female
NPI: 1447587399
Last Updated: 2020-01-29
Certification Date: 2020-01-29
Certification Date: 2020-01-29
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1447587399 | ||||||||
| Enumeration Date | 2009-11-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 538622 ATLANTA, GA 30353-8622 United States Phone: 910-794-4521 | Fax:877-364-7056 | ||||||||
| Primary Practice Address | 3205 RANDALL PKWY STE 105 WILMINGTON, NC 28403-2565 United States Phone: 910-794-4521 | Fax:877-364-7056 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|