Individual
ESSENCE KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
270 HERITAGE WALK, WOODSTOCK, GA 30188-3875
(770) 618-9829
Mailing address
1000 ETOWAH FERRY DR APT 7209, ACWORTH, GA 30102-1844
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN399107
GA
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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