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NPI Code Detail

MEDICARE: ROBERT B KNOWLES M.D.

MEDICARE: ROBERT B KNOWLES M.D.
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
1207R00000XInternal Medicine PhysicianMD28675TN

General Provider Information

NPI Number : 1548251341
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT B KNOWLES M.D.
Provider Business Mailing Address
First Line : 421 SEWELL DR
Second Line :
City : SPARTA
State : TN
Zip : 38583-1223
Country : US
Telephone Number : 931-738-4395
Fax Number : 931-738-4330
Provider Business Practice Location Address
First Line : 435 SEWELL DR
Second Line :
City : SPARTA
State : TN
Zip : 38583-1223
Country : US
Telephone Number : 931-738-4595
Fax Number : 931-837-4596
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 12/17/2014

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