Provider Demographics
NPI:1972891588
Name:KING, TERESITA LIM (MD)
Entity Type:Individual
Prefix:DR
First Name:TERESITA
Middle Name:LIM
Last Name:KING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 SUDBURY RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-1300
Mailing Address - Country:US
Mailing Address - Phone:781-266-7320
Mailing Address - Fax:
Practice Address - Street 1:1114 APPLEGATE CT
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-8910
Practice Address - Country:US
Practice Address - Phone:781-266-7320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-17
Last Update Date:2011-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27932207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology