NPI 1154640209

Richard W. King Jr, MD

Organisation Rehabilitation Practitioner Lawrenceville, GA

Practice location

Address: 500 Medical Center Blvd Suite 170, Lawrenceville, GA 30046-8708
Phone: (678) 303-3200
Fax: (678) 303-3205
Mailing address: 2550 Windy Hill Rd SE Suite 110, Marietta, GA 30067-8665

Authorised official

Name: Elizabeth R Lewis
Title: Reimbursement Director
Phone: (678) 303-3200

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 021872 (GA)

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Registry record

NPI: 1154640209
Entity type: Organization
NPI issued: 27 May 2010
Record last updated: 27 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.