Individual
JAMES DARREL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 PRIME CARE DR, SELMER, TN 38375-1864
(731) 645-7932
(731) 645-5195
Mailing address
1 PRIME CARE DR, SELMER, TN 38375-1864
(731) 645-7932
(731) 645-5195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14266
TN
207Q00000X
Family Medicine Physician
16404
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116900
—
TN
05
—
12048
—
TN
01
—
3123017
BLUE CROSS BLUE SHIELD S
TN
01
—
3123019
BLUE CROSS BLUE SHIELD H
TN
01
—
3124181
BLUE CROSS BLUE SHIELD A
TN
05
—
3717101
—
TN
Enumeration date
06/23/2006
Last updated
11/19/2010
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