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Organization

COCKE EMERGENCY GROUP, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DERIK K KING MD (PRESIDENT)
(800) 893-9698
Entity
Organization

Contact information

Practice address
435 2ND ST, NEWPORT, TN 37821
(423) 625-2200
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
TN
208M00000X
Hospitalist Physician
363A00000X
Physician Assistant
TN
363L00000X
Nurse Practitioner
TN

Other

Enumeration date
01/02/2018
Last updated
06/19/2018
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