Edmond-King, Donna
Edmond-King, Donna is an individual health care provider with primary practice located at 1712-C East Broad Avenue , Albany GA 31705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Edmond-King, Donna can be contacted via phone (229) 639-3103.Contact Information
Primary practice address
1712-C East Broad Avenue
Albany GA 31705
Phone: (229) 639-3103
Fax: (229) 888-8935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 044711 | Georgia |
Profile Details
| NPI number | 1407950876 |
|---|---|
| LBN Legal business name | Edmond-King, Donna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407950876 | NPPES |
| Georgia | Other | 4512970 | AETNA |
| Georgia | MEDICAID | 000777378A | AETNA |
| Georgia | Other | 727446 | AETNA |
| Georgia | Other | 370010386 | AETNA |
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