Joann G King (NPI# 1740387158, PAC ID# 5597703553) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1740387158 |
PAC ID by PECOS | 5597703553 |
Professional Enrollment ID | I20090602000384 |
Full Name | Joann G King |
Address |
9 Dauphin St Suite 101 Mobile AL 36602-3705 |
Gender | F |
Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
Graduation Year | 1983 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
9 Dauphin St, Suite 101, Mobile, AL 36602-3705 |
Street Address |
9 DAUPHIN ST SUITE 101 |
City | MOBILE |
State | AL |
Zip | 36602-3705 |
City | MOBILE |
Zip Code | 36602 |
Specialty | OPTOMETRY |
City + Specialty | MOBILE + OPTOMETRY |
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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.