Individual
CARL EDWARD KING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
131 FRENCH LANDING DR, NASHVILLE, TN 37228-1511
(615) 254-9981
(615) 254-9747
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
516
TN
363A00000X
Physician Assistant
683
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3669278
—
TN
01
—
6067427
BCBS TN
TN
05
—
Q004744
—
TN
Enumeration date
06/08/2006
Last updated
03/21/2023
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