Debra Cannon King, MS, RD, LD, CDE is a
Dietitian, Registered based in Ft. Benning, Georgia. Debra Cannon King is licensed to practice in Georgia (license number LD004251) and her current practice location is
7950 Martin Loop, Martin Army Community Hospital, Ft. Benning, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 544-2273.
NPI number for Debra Cannon King is 1104226265 and her current mailing address is 505 Wickersham Ave, Fort Benning, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104226265.
Healthcare Provider's Profile
Full Name | Debra Cannon King |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 7950 Martin Loop, Ft. Benning, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104226265
- Provider Enumeration Date: 08/26/2014
- Last Update Date: 08/26/2014
Medical Identifiers
Medical identifiers for Debra Cannon King such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104226265 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD004251 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Debra Cannon King is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Debra Cannon King, MS, RD, LD, CDE 505 Wickersham Ave, Fort Benning, GA 31905-6814 Ph: (913) 219-5355 | Debra Cannon King, MS, RD, LD, CDE 7950 Martin Loop, Martin Army Community Hospital, Ft. Benning, GA 31905-5637 Ph: (706) 544-2273 |
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