King, Marshaleen N. Henriques

King, Marshaleen N. Henriques is an individual health care provider with primary practice located at 6001 Professional Pkwy Ste 2020 , Douglasville GA 30134-5632. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. King, Marshaleen N. Henriques can be contacted via phone (770) 422-1372.

Contact Information

Primary practice address
6001 Professional Pkwy Ste 2020 Douglasville GA 30134-5632
Phone: (770) 422-1372
Fax: (678) 715-4910
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 056564 Georgia
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 056564 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 103386 Minnesota
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 056564 Georgia

Profile Details

NPI number 1558347807
LBN Legal business name King, Marshaleen N. Henriques
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Dec 17th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558347807 NPPES
Minnesota MEDICAID 926450000

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