Provider Demographics
NPI:1629497888
Name:KING, MAURICE L III (MD)
Entity type:Individual
Prefix:
First Name:MAURICE
Middle Name:L
Last Name:KING
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:5215 ESSEN LN STE 200
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3543
Mailing Address - Country:US
Mailing Address - Phone:225-215-1281
Mailing Address - Fax:225-215-1380
Practice Address - Street 1:4950 ESSEN LN
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3738
Practice Address - Country:US
Practice Address - Phone:225-767-0847
Practice Address - Fax:225-767-1335
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2025-01-20
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Provider Licenses
StateLicense IDTaxonomies
LA3240182085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty