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Individual

MR. DALE EDWARD KNIGHT JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
761B MAN BONE CREEK RD, WHIGHAM, GA 39897-2409
(229) 378-4242
(229) 377-0676
Mailing address
761B MAN BONE CREEK RD, WHIGHAM, GA 39897-2409
(229) 378-4242
(229) 377-0676

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN258421
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23152549
NATIONAL COUNCIL OF STATE BOARDS OF NURSING INC. ID#
GA
01
RN258421
RN LICENSE, GA
GA
Enumeration date
06/25/2016
Last updated
06/27/2016
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