Individual
CHARLOTTE FAYE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 N MAIN ST, CLINTON, TN 37716-3143
(865) 425-8801
Mailing address
431 CARR WYNN RD, LA FOLLETTE, TN 37766-4756
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
133296
TN
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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