person
Dr. Russell Edwin King, MD
Student in an Organized Health Care Education/Training Program in Atlanta, Georgia
NPI 1619679073

Russell Edwin King is a Student in an Organized Health Care Education/Training Program based in Atlanta, GA. Russell Edwin King practices in Atlanta, GA and has the professional credentials of MD. The NPI Number for Russell Edwin King is 1619679073 and holds a License No. (Georgia).

The current practice location address for Russell Edwin King is 49 Jesse Jr Dr Se, Atlanta, GA and can be reached out via phone at 404-778-7777.

Location: 49 Jesse Jr Dr Se, Atlanta, GA, 30322-0001
person
Provider Profile Details
NPI Number
1619679073
Provider Name
Russell Edwin King
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
49 Jesse Jr Dr Se, Atlanta, GA, 30322-0001
Phone Number
404-778-7777
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
49 Jesse Jr Dr Se
City
State
Zip
30322-1059
Phone Number
404-778-7777
Fax Number
person
Provider Business Mailing Address Details
Address
49 Jesse Jr Dr Se
City
State
Zip
30322-1059
Phone Number
404-778-7777
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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