Provider Demographics
NPI:1124048756
Name:KNIGHT, CHERIE DIANE (MD)
Entity type:Individual
Prefix:DR
First Name:CHERIE
Middle Name:DIANE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:400 VETERANS AVE
Mailing Address - Street 2:11E
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39531-2410
Mailing Address - Country:US
Mailing Address - Phone:228-523-4718
Mailing Address - Fax:228-523-4986
Practice Address - Street 1:400 VETERANS AVE
Practice Address - Street 2:11E
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39531-2410
Practice Address - Country:US
Practice Address - Phone:228-523-4718
Practice Address - Fax:228-523-4986
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI29148207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine