King, Robert Edward

King, Robert Edward is an individual health care provider with primary practice located at 1825 Martha Berry Blvd Nw , Rome GA 30165-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. King, Robert Edward can be contacted via phone (706) 295-5331.

Contact Information

Primary practice address
1825 Martha Berry Blvd Nw Rome GA 30165-1625
Phone: (706) 295-5331
Fax: (706) 236-6491
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 053835 Georgia

Profile Details

NPI number 1164584025
LBN Legal business name King, Robert Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Apr 27th, 2020 - about 4 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 1164584025 NPPES
Georgia MEDICAID 092072755A
Georgia MEDICAID 092072755B
Georgia MEDICAID 092072755C

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