Individual
DR. RICHARD M KNAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 WHITETAIL ROAD, SEALE, AL 36875-5917
(423) 384-1708
(615) 234-3762
Mailing address
175 WHITETAIL RD, SEALE, AL 36875-5917
(423) 384-1708
(615) 234-3762
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
33968
TN
282N00000X
General Acute Care Hospital
32223
GA
291U00000X
Clinical Medical Laboratory
MD.30846
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000018792
TLC TENNCARE
TN
05
—
006601294
—
VA
01
—
100031094
PHP TENNCARE
TN
01
—
119582
UNISON TENNCARE
TN
01
—
286997
BLUE CROSS
VA
01
—
3143364
BLUE CROSS
TN
01
—
319800
WELLCARE MEDCAID CMO
GA
05
—
3850367
—
TN
01
—
52022505005
BLUE CROSS
GA
05
—
64057102
—
KY
05
—
89063F3
—
NC
Enumeration date
09/26/2006
Last updated
12/03/2012
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