Organization
FORT LOUDOUN RADIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE KNIGHT M.D. (PRESIDENT)
(865) 986-5827
Entity
Organization
Contact information
Practice address
550 FORT LOUDOUN MEDICAL CENTER DR, LENOIR CITY, TN 37772-5673
(865) 271-6000
Mailing address
PO BOX 70, LENOIR CITY, TN 37771-0070
(865) 986-5827
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972611515
NPI
—
05
—
3728248
—
TN
01
—
DD0275
RR MEDICARE
—
Enumeration date
08/25/2006
Last updated
01/09/2008
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