Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | ME120402 | FL |
Y | 207RH0002X | Hospice and Palliative Medicine | 71139 | GA |
NPI | 1295026235 |
---|---|
Provider Name | Mrs. Gail Ann Knight |
First Address | Lagrange, GA 30240-4131 |
Second Address | Lagrange, GA 30240-4131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2011 |
Last Update Date | 27/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
012927100 | (05) | FL |