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1033447313
BRANDON VIRDELL KING
MARIETTA, GA
NPI
1033447313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2009-11-25
Last Update Date
2021-11-24
Business Address
Mr. BRANDON VIRDELL KING CSA, CSFA
55 ATLANTA ST SE STE 204
MARIETTA, GA 30060-1977
Phone number: 678-517-3428
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Mailing Address
Mr. BRANDON VIRDELL KING CSA, CSFA
PO BOX 81
MARIETTA, GA 30061-0081
Phone number: 678-517-3428
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