Individual
MR. JAMES CENTRE KING III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
19019
TN
2085R0202X
Diagnostic Radiology Physician
Primary
19019
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1509285
MEDICAID - MTI
TN
05
—
1509285
—
TN
01
—
1640735
UNITED HEALTHCARE OF TN
TN
01
—
2550415
CIGNA
TN
01
—
300108655
RAILROAD MEDICARE
TN
01
—
3031170
BCBS
TN
05
—
3083723
—
TN
05
—
3083724
—
TN
01
—
3135911
BCBS
TN
01
—
4076235
BCBS
TN
01
—
4200812
BCBS TN
TN
01
—
4291333
BCBS - MTI
TN
01
—
64924616
KY MEDICAID
KY
01
—
P00942161
RR MEDICARE - MTI
—
Enumeration date
06/05/2006
Last updated
11/30/2011
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