# THE FAMILY CLINIC OF NASHVILLE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033113741
- **Authorized official:** DR. JOE D KING M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (870) 845-1933

## Contact information

- **Practice address:** 1400 LESLIE ST, NASHVILLE, AR 71852-4027
- **Practice address phone:** (870) 845-1933
- **Mailing address:** PO BOX 549, NASHVILLE, AR 71852-0549
- **Mailing address phone:** (870) 845-1933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MC-0293 | AR | Yes |

## Other

- **Enumeration date:** 06/09/2005
- **Last updated:** 07/13/2007

## 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 |