King, Nicole Marie

King, Nicole Marie is an individual health care provider with primary practice located at 3615 Braselton Hwy Ste 103 , Dacula GA 30019-5907. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. King, Nicole Marie can be contacted via phone (678) 377-9634.

Contact Information

Primary practice address
3615 Braselton Hwy Ste 103 Dacula GA 30019-5907
Phone: (678) 377-9634
Fax: (678) 377-9609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP004282 Georgia

Profile Details

NPI number 1447326236
LBN Legal business name King, Nicole Marie
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2006
Last updated Jun 9th, 2009 - about 17 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 1447326236 NPPES
Georgia MEDICAID 000905407C

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