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Individual

TERA R. KNIGHTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.P.N.P.

Contact information

Practice address
126 CLINIC DR, DOTHAN, AL 36303-1980
(334) 793-1881
(334) 712-1815
Mailing address
126 CLINIC DR, DOTHAN, AL 36303-1980
(334) 793-1881
(334) 712-1815

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1116178
AL

Other

Enumeration date
01/08/2014
Last updated
02/03/2014
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