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Shonda King, TRICHOLOGY
Clinic/Center in Midway, Georgia
NPI 1255808515

Shonda King is a Clinic/Center based in Midway, GA. Shonda King practices in Midway, GA and has the professional credentials of TRICHOLOGY. The NPI Number for Shonda King is 1255808515 and holds a License No. (Georgia).

The current practice location address for Shonda King is 150 Butler St Ste D5-D7, Midway, GA and can be reached out via phone at .

Location: 150 Butler St Ste D5-D7, Midway, GA, 31320-0641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255808515
Provider Name
Shonda King
Credential
TRICHOLOGY
Provider Entity Type
Individual
Gender
Female
Address
150 Butler St Ste D5-D7, Midway, GA, 31320-0641
Phone Number
Fax Number
Provider Enumeration Date
10/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
150 Butler St Ste D5-D7
City
Midway
State
Georgia
Zip
31320-4575
Phone Number
Fax Number
person
Provider Business Mailing Address Details
Address
150 Butler St Ste D5-D7
City
Midway
State
Georgia
Zip
31320-4575
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(Georgia)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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