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NPI Code Detail

MEDICARE: SUSAN M KNIGHT MS

MEDICARE:   SUSAN M KNIGHT  MS
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
1101YM0800XMental Health Counselor
2101Y00000XCounselor

General Provider Information

NPI Number : 1184741969
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN M KNIGHT MS
Provider Business Mailing Address
First Line : 200 TECH CENTER DR BLDG 1
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-2747
Country : US
Telephone Number : 865-637-9711
Fax Number :
Provider Business Practice Location Address
First Line : 5310 BALL CAMP PIKE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37921-3234
Country : US
Telephone Number : 865-541-6958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2007
Last Update Date : 08/22/2023

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