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1619679073
RUSSELL EDWIN KING
ATLANTA, GA
NPI
1619679073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
Dr. RUSSELL EDWIN KING MD
49 JESSE JR DR SE
ATLANTA, GA 30322-1059
Phone number: 404-778-7777
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Mailing Address
Dr. RUSSELL EDWIN KING MD
49 JESSE JR DR SE
ATLANTA, GA 30322-0001
Phone number: 404-778-7777
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