Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary R King, PA-C

Individual provider Physician Assistant · NPI 1821624370

Mary R King, PA-C is a Physician Assistant in Gulfport, Mississippi. Works from 3 locations. Licensed in Alabama and Mississippi.

Licensed in
AL, MS
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11295 E Taylor Rd
Gulfport, MS 39503-4197
Phone: (228) 864-3300
Fax: (228) 864-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6510 Highway 90 Ste C, Gautier, MS 39553-5015 — (228) 372-8559
  • 703 Frontage Dr E, Wiggins, MS 39577-8362 — (601) 385-8106

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00646 (MS)
Physician Assistant Taxonomy 363A00000X · Licence PA.1595 (AL)

Record details

NPI number1821624370
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 17, 2020
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023

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