King, Mary R

King, Mary R is an individual health care provider with primary practice located at 11295 E Taylor Rd , Gulfport MS 39503-4197. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. King, Mary R can be contacted via phone (228) 864-3300.

Contact Information

Primary practice address
11295 E Taylor Rd Gulfport MS 39503-4197
Phone: (228) 864-3300
Fax: (228) 864-3333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.1595 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00646 Mississippi

Profile Details

NPI number 1821624370
LBN Legal business name King, Mary R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2020
Last updated May 25th, 2023 - about 3 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.

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