Individual
MARK DOUGLAS KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 737-9250
(706) 733-0697
Mailing address
1824 WALTON WAY, AUGUSTA, GA 30904-3804
(706) 737-9250
(706) 733-0697
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
052765
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
052765
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
569155801A
—
GA
05
—
G52765
—
SC
01
—
P00171847
RAILROAD MEDICARE
GA
Enumeration date
06/21/2006
Last updated
06/16/2008
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