Individual
FORREST A. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2525 DESALES AVENUE, CHATTANOOGA, TN 37404
(423) 697-0014
(423) 648-6280
Mailing address
725 GLENWOOD DRIVE, SUITE E-487, CHATTANOOGA, TN 37404
(423) 697-0014
(423) 648-6280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
APN06890
TN
363L00000X
Nurse Practitioner
APN06890
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000977116A
—
GA
Enumeration date
07/03/2006
Last updated
11/18/2011
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