Individual provider · Type 1 NPI

Brandon Virdell King, CSA, CSFA

Surgical Physician Assistant · Marietta, GA

NPI number 1033447313 Active

Practice location

55 Atlanta St SE Ste 204
Marietta, GA 30060-1977

Call (678) 517-3428 Map

Fax (770) 485-1534

Mailing address

PO Box 81
Marietta, GA 30061-0081

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1033447313

Brandon Virdell King, CSA, CSFA's National Provider Identifier is 1033447313, issued on Nov 25, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Marietta, GA. The record was last updated on Nov 24, 2021.