Provider Demographics
NPI:1255371233
Name:KING, HORACE W JR (MD)
Entity type:Individual
Prefix:DR
First Name:HORACE
Middle Name:W
Last Name:KING
Suffix:JR
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:HORACE
Other - Middle Name:WILLIAM
Other - Last Name:KING
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 634706
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:550 FORT LOUDOUN MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37772-5673
Practice Address - Country:US
Practice Address - Phone:865-271-6000
Practice Address - Fax:865-539-8008
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN011421207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00232364OtherRAILROAD MEDICARE
TN3081587OtherBLUE CROSS
TN3190688Medicaid
TN3816818Medicaid
TN4091383OtherBLUE CROSS
TN0154928OtherBLUE CROSS
TN3190688Medicaid
TN3816818Medicaid
TN3190688Medicare PIN