Provider Demographics
NPI:1679689962
Name:MOUNTAIN DOCS FAMILY MEDICINE P.A
Entity Type:Organization
Organization Name:MOUNTAIN DOCS FAMILY MEDICINE P.A
Other - Org Name:GARLAND C. KING MD P.A
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIT
Authorized Official - Middle Name:C
Authorized Official - Last Name:HELM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-306-4407
Mailing Address - Street 1:161 IOTLA STREET
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734
Mailing Address - Country:US
Mailing Address - Phone:828-306-4407
Mailing Address - Fax:828-349-4424
Practice Address - Street 1:161 IOTLA STREET
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-2506
Practice Address - Country:US
Practice Address - Phone:828-306-4407
Practice Address - Fax:828-349-4424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89011M3Medicaid
NC1328Medicare ID - Type Unspecified