Basic Information
| Provider Information | |||||||||
| NPI: | 1154989689 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KING AND ASSOCIATES CARDIOLOGY PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 425 HOSPITAL DR STE 4B | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | MS | ||||||||
| PostalCode: | 397051901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6623681169 | ||||||||
| FaxNumber: | 6625701492 | ||||||||
| Practice Location | |||||||||
| Address1: | 425 HOSPITAL DR STE 4B | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | MS | ||||||||
| PostalCode: | 397051901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6623681169 | ||||||||
| FaxNumber: | 6625701492 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/30/2019 | ||||||||
| LastUpdateDate: | 02/03/2022 | ||||||||
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| AuthorizedOfficialLastName: | KING | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6623681169 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 02/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0011X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology |
No ID Information.