Provider Demographics
NPI:1841201910
Name:BRYAN E. KNIGHT
Entity Type:Organization
Organization Name:BRYAN E. KNIGHT
Other - Org Name:MOUNTAIN TOP MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:SR
Authorized Official - Credentials:FNP
Authorized Official - Phone:931-692-5500
Mailing Address - Street 1:1595 MAIN ST
Mailing Address - Street 2:PO BOX 219
Mailing Address - City:ALTAMONT
Mailing Address - State:TN
Mailing Address - Zip Code:37301-3639
Mailing Address - Country:US
Mailing Address - Phone:931-692-5500
Mailing Address - Fax:931-692-5501
Practice Address - Street 1:1595 MAIN ST
Practice Address - Street 2:BOX 219
Practice Address - City:ALTAMONT
Practice Address - State:TN
Practice Address - Zip Code:37301-3639
Practice Address - Country:US
Practice Address - Phone:931-692-5500
Practice Address - Fax:931-692-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3908244Medicare PIN