Doctor Name: | AURORA B. KING |
NPI Number: | 1053494740 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R886172 |
Business Practice Address: | 120 Sreet A, Suite A Picayune, MS - 394665466 |
Business Phone Number: | 6017992121 |
Business Fax Number: | 6017992429 |
Mailing Address: | 121 Earl Dubuisson Rd, CARRIERE |
State: | MS |
Postal Code: | 394269119 |
Phone Number: | 6017992121 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 01/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R886172 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |