Individual
DR. CALEB J KNISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6849
(803) 434-6095
Mailing address
3 RICHLAND MEDICAL PARK DR STE 500, COLUMBIA, SC 29203-6854
(803) 434-6095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD94642
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MD94642
SC
Other
Enumeration date
03/31/2022
Last updated
08/06/2025
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