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NPI Code Detail

MEDICARE: DR. DARWIN MCKNIGHT M.D.

MEDICARE:  DR. DARWIN  MCKNIGHT  M.D.
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
1207Q00000XFamily Medicine Physician105307GA
2207QS0010XSports Medicine (Family Medicine) Physician61229SC
3207Q00000XFamily Medicine Physician61229SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
161229OTHERSCSTATE MEDICAL LICENSE
235.133838OTHEROHSTATE MEDICAL LICENSE

General Provider Information

NPI Number : 1598150179
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DARWIN MCKNIGHT M.D.
Provider Business Mailing Address
First Line : PO BOX 740015
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0015
Country : US
Telephone Number : 312-733-9730
Fax Number :
Provider Business Practice Location Address
First Line : 3088 WASHINGTON RD
Second Line :
City : EAST POINT
State : GA
Zip : 30344-4566
Country : US
Telephone Number : 470-444-3135
Fax Number : 404-777-9336
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2015
Last Update Date : 03/02/2026

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Directions to “ DR. DARWIN MCKNIGHT M.D.” Practice Location

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