Provider Demographics
NPI:1336249671
Name:KING, ROBERT GARLAND JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:GARLAND
Last Name:KING
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2821 N PARHAM RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4412
Mailing Address - Country:US
Mailing Address - Phone:804-270-1224
Mailing Address - Fax:804-270-1224
Practice Address - Street 1:2821 N PARHAM RD
Practice Address - Street 2:SUITE 104
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4412
Practice Address - Country:US
Practice Address - Phone:804-270-1224
Practice Address - Fax:804-270-1224
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101015840207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B07100Medicare UPIN