Most Relevant Information
Provider Data
| NPI Number: | 1003532946 |
| Provider Name: | MARVIN BRIEN KING |
| Entity Type: | Individual |
| Taxonomy Code: | 343900000X |
| Specialty: | Non-emergency Medical Transport (VAN) |
| License Number: | 21141461 |
Most Important Dates
| Enumeration Date: | 10/12/2022 |
| Last Updated: | 10/12/2022 |
Provider Practice Location
367 GOLFCREST DR SE
CONYERS
GA
300943639
Practice Location Phone/Fax
| Phone: | 2486941328 |
| Fax: | 6785095315 |
Provider Mailing Location
367 GOLFCREST DR SE
CONYERS
GA
300943639
Provider Mailing Phone/Fax
| Phone: | 2486941328 |
| Fax: | 6785095315 |