| King Family Medical Pllc | |
|
215b Holly Ln Waverly TN 37185-3387 | |
| (931) 296-9969 | |
| (931) 296-8100 |
| Full Name | King Family Medical Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 215b Holly Ln, Waverly, Tennessee |
| Authorized Official Name and Position | Christie Madge King-patterson (OWNER) |
| Authorized Official Contact | 9312969969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Family Medical Pllc Po Box 432 Waverly TN 37185-0432 Ph: () - | King Family Medical Pllc 215b Holly Ln Waverly TN 37185-3387 Ph: (931) 296-9969 |
| NPI Number | 1053547760 |
|---|---|
| Provider Enumeration Date | 06/09/2009 |
| Last Update Date | 06/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053547760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 13621 (Tennessee) | Primary |
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