Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 29148 | WI |
NPI | 1124048756 |
---|---|
Provider Name | Dr. Cherie Diane Knight |
First Address | Biloxi, MS 39531-2410 |
Second Address | Biloxi, MS 39531-2410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 08/07/2007 |