Provider Demographics
NPI:1902810179
Name:KNOTT, LATONYA DENISE (MD)
Entity Type:Individual
Prefix:DR
First Name:LATONYA
Middle Name:DENISE
Last Name:KNOTT
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1035 14TH AVE N
Mailing Address - Street 2:MATTHEW WALKER COMPREHENSIVE HEALTH CENTER
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-3050
Mailing Address - Country:US
Mailing Address - Phone:615-327-9400
Mailing Address - Fax:615-329-0819
Practice Address - Street 1:1035 14TH AVE N
Practice Address - Street 2:MATTHEW WALKER COMPREHENSIVE HEALTH CENTER
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-3050
Practice Address - Country:US
Practice Address - Phone:615-327-9400
Practice Address - Fax:615-329-0819
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000037986207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNI33020Medicare UPIN