Individual
MRS. MARY ODOM KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2297 WALDEN DRIVE, AUGUSTA, GA 30904
(706) 833-6220
Mailing address
2297 WALDEN DRIVE, AUGUSTA, GA 30904
(706) 833-6220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN130497
GA
Other
Enumeration date
05/15/2022
Last updated
05/15/2022
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