| Doctor Name: | PROF. JAMES G KING |
| NPI Number: | 1093877508 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | PA453 |
| Business Practice Address: | 1012 S Chancery St Mc Minnville, TN - 371103704 |
| Business Phone Number: | 9315072273 |
| Business Fax Number: | 9315072274 |
| Mailing Address: | 168 13th Ave Nw, WINCHESTER |
| State: | TN |
| Postal Code: | 373981071 |
| Phone Number: | 2057123246 |
| Fax Number: | 9315072274 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA453 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |