Justin King MD
General Practice Physician in Columbus, MS(View on Map)
Full Name
Justin King MD
NPI Number
1932846938
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/19/2022
Specialties
(Taxonomies)Name
Code
208D00000X
171000000X
390200000X
Primary Taxonomy
Yes
No
No
Licenses
State
Nebraska
License Number
36046
Contact
Information
Purpose
Mailing
Location
Address
201 INDEPENCE DRIVE
201 INDEPENDENCE
City
Columbus
Columbus
State
MS
MS
Postal Code
39710-0001
39710-2201
Country
US
US
Telephone Number
N/A
(662) 434-2273
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/30/2024