MEDICARE: MS. RHONDA L KNIGHT

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1437983061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RHONDA L KNIGHT

Provider Business Mailing Address
First Line	:	4046 JOHNS RD
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30132-3469
Country	:	US
Telephone Number	:	678-629-0957
Fax Number	:

Provider Business Practice Location Address
First Line	:	2487 CEDARCREST RD STE 722
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-2730
Country	:	US
Telephone Number	:	678-629-0957
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2024
Last Update Date	:	08/27/2024

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