Individual
DR. ANTONIO LAVALE KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5362 ESTATE OFFICE DR, SUITE 1, MEMPHIS, TN 38119-3635
(901) 537-0078
(901) 537-0096
Mailing address
5362 ESTATE OFFICE DR, SUITE 1, MEMPHIS, TN 38119-3635
(901) 537-0078
(901) 537-0096
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
581
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3353517
—
TN
Enumeration date
12/08/2006
Last updated
07/08/2007
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