Shawn Philip Knight, PA-C
Physician Assistant in Moody Afb, GA. Individual provider (NPI-1).
NPI number1104133974
StatusActive
Last updated in NPPESJun 7, 2022
Details
- NPI
- 1104133974
- Entity type
- Individual (NPI-1)
- Name
- Shawn Philip Knight
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2010
- Certification date
- Jun 7, 2022
- Last updated
- Jun 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
3278 Mitchell BlvdMoody Afb, GA 31699-2508
Phone 229-257-6144
Mailing address
3278 Mitchell BlvdMoody Afb, GA 31699-1500
Phone 229-257-6144
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- Jerel E MeridaNPI 1023807914
All 17 Physician Assistant providers in Moody Afb · All 157 providers in Moody Afb
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