Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin M King, PA

Individual provider Surgical Physician Assistant · NPI 1619598620

Justin M King, PA is a Surgical Physician Assistant in Cleveland, Tennessee. Licensed in Tennessee. Registered with an NPI since 2020.

Licensed in
TN
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

102 Dunhill Pl NW
Cleveland, TN 37311-3885
Phone: (423) 339-9581
Fax: (423) 472-0494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 4112 (TN)

Record details

NPI number1619598620
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 30, 2020
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020

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