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NPI Code Detail

MEDICARE: PAMELA L THOMPSON-KNIGHT CRNA

MEDICARE: PAMELA L THOMPSON-KNIGHT CRNA
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
1367500000XCertified Registered Nurse AnesthetistAPN23SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124020698
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA L THOMPSON-KNIGHT CRNA
Provider Business Mailing Address
First Line : 129 NORTH WASHINGTON STREET
Second Line :
City : SUMTER
State : SC
Zip : 29150
Country : US
Telephone Number : 803-774-8726
Fax Number : 803-774-9846
Provider Business Practice Location Address
First Line : 129 N WASHINGTON ST
Second Line :
City : SUMTER
State : SC
Zip : 29150-4949
Country : US
Telephone Number : 803-774-8775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2005
Last Update Date : 01/31/2012

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