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Organization
THE FAMILY CLINIC OF NASHVILLE, P.A.
Active
Organization
THE FAMILY CLINIC OF NASHVILLE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE D KING M.D. (OWNER/PRESIDENT)
(870) 845-1933
Entity
Organization
Contact information
Practice address
1400 LESLIE ST, NASHVILLE, AR 71852-4027
(870) 845-1933
Mailing address
PO BOX 549, NASHVILLE, AR 71852-0549
(870) 845-1933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MC-0293
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14413000000
QUALCHOICE OF ARKANSAS
AR
01
—
56777
BLUE CROSS OF ARKANSAS
AR
01
—
622147
UNITED HEALTHCARE
AR
01
—
AR0001341
TRICARE/HUMANA
AR
Enumeration date
06/09/2005
Last updated
07/13/2007
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