King, John Wesley
King, John Wesley is an individual health care provider with primary practice located at 250 Martin Luther King Jr Blvd , Macon GA 31201-3490. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. King, John Wesley can be contacted via phone (478) 301-4111.Contact Information
Primary practice address
250 Martin Luther King Jr Blvd
Macon GA 31201-3490
Phone: (478) 301-4111
Fax: (478) 301-5812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 021126 | Georgia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 021126 | Georgia |
Profile Details
| NPI number | 1669465860 |
|---|---|
| LBN Legal business name | King, John Wesley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Feb 14th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669465860 | NPPES |
| Georgia | Other | 021126 | GEORGIA LICENSE |
| Georgia | MEDICAID | 00347608A | GEORGIA LICENSE |
| Georgia | Other | 52071710 | GEORGIA LICENSE |
| Georgia | Other | 581714951 | GEORGIA LICENSE |
| Georgia | Other | 58171495131061 | GEORGIA LICENSE |
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