Individual provider · Type 1 NPI
Shelby Boggus King, PA-C
Medical Physician Assistant · Covington, GA
NPI number
1134598501
Active
Practice location
4181 Hospital Drive NE, Suite 204
Covington, GA 30014
Mailing address
4181 Hospital Dr NE Ste 204
Covington, GA 30014-2541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 7686 (GA) |
Medical Physician Assistant: Definition to come...
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- Yormica L. Truitt, PA-CMedical Physician Assistant Covington, GA NPI 1598929630
- Susan Gale Eleazer, PA-CMedical Physician Assistant Covington, GA NPI 1770532723
About NPI 1134598501
Shelby Boggus King, PA-C's National Provider Identifier is 1134598501, issued on Sep 16, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Covington, GA. The record was last updated on Feb 20, 2019.