MEDICARE: THOMAS E KNIGHT JR. 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
1	2085B0100X	Body Imaging Physician	26844	SC
2	2085R0202X	Diagnostic Radiology Physician	26844	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	300133498	OTHER	SC	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1609870690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS E KNIGHT JR. M.D.

Provider Business Mailing Address
First Line	:	PO BOX 75513
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-0513
Country	:	US
Telephone Number	:	843-815-9700
Fax Number	:	843-815-9701

Provider Business Practice Location Address
First Line	:	18 CLARKS SUMMIT DRIVE
Second Line	:
City	:	BLUFFTON
State	:	SC
Zip	:	29910
Country	:	US
Telephone Number	:	843-815-9700
Fax Number	:	843-815-9701

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

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	12/18/2013

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