Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 7862 | AZ |
N | 111NN0400X | Neurology | 7862 | AZ |
N | 111NN1001X | Nutrition | 2006002034 | MO |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 7862 | AZ |
NPI | 1033150362 |
---|---|
Provider Name | Dr. Mary E King |
First Address | Hampstead, NC 28443-8104 |
Second Address | Wilmington, NC 28403-4749 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 23/12/2019 |