Individual
DR. EDWARD JOHN KNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105-5322
(704) 495-6020
Mailing address
5960 FAIRVIEW RD STE 500, CHARLOTTE, NC 28210-3113
(704) 495-6334
(704) 817-7219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30054
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356365878
—
NC
05
—
8949775
—
NC
05
—
N30054
—
SC
Enumeration date
07/27/2006
Last updated
01/25/2023
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