Individual
DR. VICKI D KNIGHT-MATHIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2920 MARIETTA HWY, SUITE 142, CANTON, GA 30114-8212
(770) 704-0057
(770) 704-0223
Mailing address
2920 MARIETTA HWY, SUITE 142, CANTON, GA 30114-8212
(770) 704-0057
(770) 704-0223
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47337
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00824788B
—
GA
Enumeration date
07/19/2005
Last updated
07/09/2007
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