Individual
MEREDITH BOGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5000
Mailing address
5621 BURBURY LN, KNOXVILLE, TN 37921-3868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
182610
TN
Other
Enumeration date
05/15/2016
Last updated
05/15/2016
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