King, Cliff L.
King, Cliff L. is an sole proprietor health care provider with primary practice located at 601A Professional Dr Ste 150 , Lawrenceville GA 30046-3325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. King, Cliff L. can be contacted via phone (770) 963-6652.Contact Information
Primary practice address
601A Professional Dr Ste 150
Lawrenceville GA 30046-3325
Phone: (770) 963-6652
Fax: (770) 963-6013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 025993 | Georgia |
Profile Details
| NPI number | 1972508521 |
|---|---|
| LBN Legal business name | King, Cliff L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1972508521 | NPPES |
| Georgia | Other | 0282107 | BC / BS OF GEORGIA |
| Georgia | Other | 58-1627574 | BC / BS OF GEORGIA |
| Georgia | Other | 11D0257597 | BC / BS OF GEORGIA |
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