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NPI Code Detail

MEDICARE: DR. LATONYA DENISE KNOTT M.D.

MEDICARE:  DR. LATONYA DENISE KNOTT  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 PhysicianMD0000037986TN

General Provider Information

NPI Number : 1902810179
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LATONYA DENISE KNOTT M.D.
Provider Business Mailing Address
First Line : 1035 14TH AVE N
Second Line : MATTHEW WALKER COMPREHENSIVE HEALTH CENTER
City : NASHVILLE
State : TN
Zip : 37208-3050
Country : US
Telephone Number : 615-327-9400
Fax Number : 615-329-0819
Provider Business Practice Location Address
First Line : 1035 14TH AVE N
Second Line : MATTHEW WALKER COMPREHENSIVE HEALTH CENTER
City : NASHVILLE
State : TN
Zip : 37208-3050
Country : US
Telephone Number : 615-327-9400
Fax Number : 615-329-0819
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 04/15/2011

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Directions to “ DR. LATONYA DENISE KNOTT M.D.” Practice Location

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