Dale Edward Knight Jr., RN
Individual provider Active NPI Registered Nurse · Whigham, GA
NPI 1154772747 · NPPES record last updated Jun 27, 2016
Key facts
- NPI
- 1154772747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN258421 (GA)
- Practice address
- 761B Man Bone Creek Rd
Whigham, GA 39897-2409 - Phone
- (229) 378-4242
- Fax
- (229) 377-0676
- NPI assigned
- Jun 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN258421 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snore No More LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN258421 | GA | Yes |
Addresses
Primary practice location
761B Man Bone Creek Rd
Whigham, GA 39897-2409
Mailing address
761B Man Bone Creek Rd
Whigham, GA 39897-2409
Phone (229) 378-4242
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23152549 | Other | GA | NATIONAL COUNCIL OF STATE BOARDS OF NURSING INC. ID# |
| RN258421 | Other | GA | RN LICENSE, GA |
Other names
- Mr. Eddie Knight
Other providers in Whigham, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.