Individual
MR. JAMES CENTRE KING III
Active
Individual
MR. JAMES CENTRE KING III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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