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Individual

DAVID TRAVIS KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
415 STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 975-2200
(423) 975-7946
Mailing address
620 MUDDY CREEK RD, BLOUNTVILLE, TN 37617-6547
(423) 323-7213
(423) 975-7946

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000132407
TN

Other

Enumeration date
02/06/2007
Last updated
07/08/2007
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