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NPI Code Detail

MEDICARE: DR. STEPHEN DANIEL KING D.C.

MEDICARE: DR. STEPHEN DANIEL KING D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2983TN

General Provider Information

NPI Number : 1629513718
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN DANIEL KING D.C.
Provider Business Mailing Address
First Line : 1994 GALLATIN PIKE N STE 206
Second Line :
City : MADISON
State : TN
Zip : 37115-2024
Country : US
Telephone Number : 615-859-6677
Fax Number :
Provider Business Practice Location Address
First Line : 1994 GALLATIN PIKE N STE 206
Second Line :
City : MADISON
State : TN
Zip : 37115-2024
Country : US
Telephone Number : 615-859-6677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2016
Last Update Date : 12/27/2016

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