Individual
DR. JASON R KNOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
DO1010
AL
207VX0000X
Obstetrics Physician
Primary
2250
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I160651
MEDICARE PTAN
TN
Enumeration date
05/31/2007
Last updated
09/28/2015
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