Individual
ELIZABETH WAGONER KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4605 MONTICELLO RD, COLUMBIA, SC 29203-4156
(803) 754-0151
(803) 691-1778
Mailing address
4605 MONTICELLO RD, COLUMBIA, SC 29203-4156
(803) 754-0151
(803) 691-1778
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4446
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1791
—
SC
Enumeration date
02/08/2011
Last updated
07/06/2012
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