Individual
EDWARD BERT KNIGHT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6012
(864) 560-6013
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8397
SC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
08397
SC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
8397
SC
207RP1001X
Pulmonary Disease Physician
08397
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083974
—
SC
01
—
576007863172
BCBS
SC
01
—
P00454115
RR MEDICARE
SC
01
—
P01722207
RAILROAD MEDICARE
SC
Enumeration date
01/25/2006
Last updated
01/29/2021
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