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Individual

DR. MATTHEW J KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3300 WILLIAMS ENTERPRISE DR STE 1, COOKEVILLE, TN 38506-4224
(931) 528-9222
(931) 854-0907
Mailing address
3300 WILLIAMS ENTERPRISE DR STE 1, COOKEVILLE, TN 38506-4224
(931) 528-9222
(931) 854-0907

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35889
KY
207R00000X
Internal Medicine Physician
Primary
39208
TN
208000000X
Pediatrics Physician
35889
KY
208000000X
Pediatrics Physician
39208
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3326198
TN
01
4096784
BLUE CROSS BLUE SHIELD
TN
Enumeration date
06/01/2005
Last updated
02/22/2024
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