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NPI Code Detail

MEDICARE: TAYLOR RAE KNIGHT PA-C

MEDICARE:   TAYLOR RAE KNIGHT  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant001015953NC
2363A00000XPhysician Assistant5593SC

General Provider Information

NPI Number : 1790500858
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR RAE KNIGHT PA-C
Provider Business Mailing Address
First Line : 1000 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5812
Country : US
Telephone Number : 704-381-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1000 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5812
Country : US
Telephone Number : 704-446-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2024
Last Update Date : 03/05/2026

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Directions to “ TAYLOR RAE KNIGHT PA-C” Practice Location

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