Individual
TARA M KNOTT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1380 COWELL FARM ROAD, WASHINGTON, NC 27889
(252) 946-2101
(252) 946-9896
Mailing address
1380 COWELL FARM ROAD, WASHINGTON, NC 27889
(252) 946-2101
(252) 946-9896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9801338
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1175A
BLUE CROSS
NC
05
—
891175A
—
NC
Enumeration date
06/01/2006
Last updated
07/08/2007
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