Jackie L King (NPI# 1679825822, PAC ID# 3678525367) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1679825822 |
| PAC ID by PECOS | 3678525367 |
| Professional Enrollment ID | I20171030001825 |
| Full Name | Jackie L King |
| Address |
3712 Executive Ctr Dr Augusta GA 30907-5095 |
| Gender | F |
| Graduation Year | 1982 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3712 Executive Ctr Dr, Augusta, GA 30907-5095 |
| Street Address |
3712 EXECUTIVE CTR DR |
| City | AUGUSTA |
| State | GA |
| Zip | 30907-5095 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Basil Coombs | Optometry | Gulf Coast Optometry Pa | 258 Bobby Jones Expressway, Martinez, GA 30907 |
| Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Pkwy, Suite 310, Martinez, GA 30907 | |
| Sue L. Howell-fafchamps | Clinical Social Worker | 3711 Executive Ctr Dr, Suite 202 Office 1, Martinez, GA 30907 | |
| Patricia F Hanks | Optometry | Gulf Coast Optometry Pa | 258 Bobby Jones Expressway, Martinez, GA 30907 |
| William Walker | Optometry | Gulf Coast Optometry Pa | 258 Bobby Jones Expressway, Martinez, GA 30907 |
| Cindy Ann Foster | Clinical Social Worker | 4210 Columbia Rd, Suite 4a, Martinez, GA 30907-0403 | |
| Deborah Corley | Physical Therapy | Maguire Therapy Services Inc. | 106 Pleasant Home Rd, Suite 2k, Augusta, GA 30907-0510 |
| Veronica A Maguire | Occupational Therapy | Maguire Therapy Services Inc. | 106 Pleasant Home Rd, Suite 2k, Augusta, GA 30907-0510 |
| Kim Lombardy | Chiropractic | 211 Pleasant Home Rd, Suite F2, Augusta, GA 30907-0558 | |
| Ernie E Lin | Psychiatry | 211 Pleasant Home Rd, F3, Augusta, GA 30907-0559 | |
| Find all physicians in zip 30907 | |||
| City | AUGUSTA |
| Zip Code | 30907 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | AUGUSTA + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jackie L King.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.