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NPI Code Detail

MEDICARE: ERIC KING

MEDICARE: ERIC KING
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
11835P2201XAmbulatory Care Pharmacist0000008517TN

General Provider Information

NPI Number : 1902495294
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC KING
Provider Business Mailing Address
First Line : 415 CHURCH ST APT 2908
Second Line :
City : NASHVILLE
State : TN
Zip : 37219-1850
Country : US
Telephone Number : 615-948-3956
Fax Number :
Provider Business Practice Location Address
First Line : 735 HARDING PL
Second Line :
City : NASHVILLE
State : TN
Zip : 37211-4357
Country : US
Telephone Number : 615-781-1282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2021
Last Update Date : 01/12/2021

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Directions to “ ERIC KING ” Practice Location

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