Mrs Iva L King, is a
Speech-language Pathologist based in Brooks, Georgia. Mrs Iva L King is licensed to practice in Georgia (license number 000383) and her current practice location is
155 Blanche Dr, Brooks, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 719-2444.
NPI number for Mrs Iva L King is 1962795724 and her current mailing address is 155 Blanche Dr, Brooks, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962795724.
Healthcare Provider's Profile
| Full Name | Mrs Iva L King |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 155 Blanche Dr, Brooks, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1962795724
- Provider Enumeration Date: 05/26/2011
- Last Update Date: 05/26/2011
Medical Identifiers
Medical identifiers for Mrs Iva L King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962795724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 000383 (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. Mrs Iva L 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 |
|---|
Mrs Iva L King,
155 Blanche Dr,
Brooks, GA 30205-1501
Ph: (770) 719-2444 | Mrs Iva L King,
155 Blanche Dr,
Brooks, GA 30205-1501
Ph: (770) 719-2444 |
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