Individual provider · Type 1 NPI

Larry King, PA

Surgical Physician Assistant · Greenville, NC

NPI number 1023096468 Active

Practice location

600 Moye Blvd, Cardiothoracic Outpatient Clinic - Dept. Of Surgery
Greenville, NC 27858

Fax (252) 744-5192

Mailing address

PO Box 751069
Charlotte, NC 28275-1069

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0001-00051 (NC)

Surgical Physician Assistant: Definition to come...

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About NPI 1023096468

Larry King, PA's National Provider Identifier is 1023096468, issued on Jan 5, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Greenville, NC. The record was last updated on Apr 21, 2010.