King, Oliver W.

King, Oliver W. is an individual health care provider with primary practice located at 61 Whitcher Street Ne Suite 2100, Marietta GA 30060-1179. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. King, Oliver W. can be contacted via phone (770) 423-0595.

Contact Information

Primary practice address
61 Whitcher Street Ne Suite 2100 Marietta GA 30060-1179
Phone: (770) 423-0595
Fax: (770) 874-1614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D29931 Georgia

Profile Details

NPI number 1669465472
LBN Legal business name King, Oliver W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Apr 11th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669465472 NPPES
Arkansas MEDICAID 00085775E

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