MEDICARE: JOE DOWNS KING M.D.

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
1	207Q00000X	Family Medicine Physician	C4613	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1861593	OTHER	AR	UNITED HEALTHCARE
3	52889	OTHER	AR	HEALTH ADVANTAGE
4	7257176	OTHER	AR	AETNA
5	52889	OTHER	AR	BLUE CROSS OF ARKANSAS
6	52889	OTHER	AR	BLUE ADVANTAGE

General Provider Information

NPI Number	:	1821092537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOE DOWNS KING M.D.

Provider Business Mailing Address
First Line	:	PO BOX 549
Second Line	:
City	:	NASHVILLE
State	:	AR
Zip	:	71852-0549
Country	:	US
Telephone Number	:	870-845-1933
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 LESLIE ST
Second Line	:
City	:	NASHVILLE
State	:	AR
Zip	:	71852-4027
Country	:	US
Telephone Number	:	870-845-1933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/18/2007

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