King George Family Doctors, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KING GEORGE FAMILY DOCTORS, LLC

Practice address

11131 Journal Pkwy
King George, VA 22485-3468

Phone

(540) 625-2527

NPI assigned

Feb 23, 2016

Last updated

Mar 28, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jessica Herrink

Title

Member

Phone

(804) 761-7792

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1811356595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11131 JOURNAL PKWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853468",
            "telephone_number": "540-625-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11131 JOURNAL PKWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853468",
            "telephone_number": "540-625-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING GEORGE FAMILY DOCTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "HERRINK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "804-761-7792",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bawul Kim
• Min Seong Kim, DMD
• King George County (King George County Department of Fire, Rescue, & Emergency Services)
• King George County Schools
• King George Dental LLC
• King George Life Care, LLC (Heritage Hall - King George)
• King George Life Care, LLC (Heritage Hall - King George)
• King George Medical Center LTD
• King George Pharmacy, Inc.
• King George Pharmacy, Inc.

• Primary Care Clinic/Center in King George, VA
• Providers in King George, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.