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Individual

ERICA NANNETTE MCKNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSFA

Contact information

Practice address
6953 STONE BREEZE DR, STONE MOUNTAIN, GA 30087-4525
(678) 463-5140
Mailing address
PO BOX 15401, ST PETERSBURG, FL 33733-5401
(678) 463-5140

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
03/07/2022
Last updated
03/07/2022
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