Individual
ELIZABETH KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 S MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27107-1370
(336) 750-2597
Mailing address
3811 DERBYSHIRE RD, WINSTON SALEM, NC 27104-1604
(704) 322-9759
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
P070266
NC
2255A2300X
Athletic Trainer
Primary
LAT -2744
NC
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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