| Doctor Name: | DR. OLIVER W. KING |
| NPI Number: | 1669465472 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | D29931 |
| Business Practice Address: | 61 Whitcher Street Ne Suite 2100 Marietta, GA - 300601179 |
| Business Phone Number: | 7704230595 |
| Business Fax Number: | 7708741614 |
| Mailing Address: | 1505 Stonebridge Parkway, Suite 100 WOODSTOCK |
| State: | GA |
| Postal Code: | 301898282 |
| Phone Number: | 7704230595 |
| Fax Number: | 7708741614 |
| NPI Enumeration Date: | 08/26/2005 |
| NPI Last Update Date: | 04/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | D29931 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |