Individual
MICKI MCKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3128 WILLISTON RD, WALKERTOWN, NC 27051-9513
(618) 623-8229
Mailing address
3128 WILLISTON RD, WALKERTOWN, NC 27051-9513
(618) 623-8229
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L0044052
NC
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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