Individual
ZACKARY ATOM CHARLES KNOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5532
(601) 984-6665
Mailing address
2500 N. STATE STREET, CBO - SUITE 4200, JACKSON, MS 39216
(601) 815-2005
(601) 815-0434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25610
MS
208000000X
Pediatrics Physician
25610
MS
208M00000X
Hospitalist Physician
25610
MS
Other
Enumeration date
03/20/2016
Last updated
08/21/2020
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