MEDICARE: CAROLYN ANN KNIGHT-SCHLONDROP NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	03004	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AA22619610	OTHER	SC	MEDICARE SC PTAN 9610

General Provider Information

NPI Number	:	1528151255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLYN ANN KNIGHT-SCHLONDROP NP

Provider Business Mailing Address
First Line	:	6326 SAINT ANDREWS RD
Second Line	:	SUITE 201
City	:	COLUMBIA
State	:	SC
Zip	:	29212-3126
Country	:	US
Telephone Number	:	803-979-9666
Fax Number	:	800-878-6608

Provider Business Practice Location Address
First Line	:	6326 SAINT ANDREWS RD
Second Line	:	SUITE 201
City	:	COLUMBIA
State	:	SC
Zip	:	29212-3126
Country	:	US
Telephone Number	:	803-979-9666
Fax Number	:	800-878-6608

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	03/07/2023

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