Provider Demographics
NPI:1154577872
Name:KNIGHT, DARRYL HUGH (MD)
Entity type:Individual
Prefix:DR
First Name:DARRYL
Middle Name:HUGH
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:612 W GORDON ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:THOMASTON
Mailing Address - State:GA
Mailing Address - Zip Code:30286-3480
Mailing Address - Country:US
Mailing Address - Phone:706-648-3368
Mailing Address - Fax:706-647-4788
Practice Address - Street 1:612 W GORDON ST
Practice Address - Street 2:SUITE B
Practice Address - City:THOMASTON
Practice Address - State:GA
Practice Address - Zip Code:30286-3480
Practice Address - Country:US
Practice Address - Phone:706-648-3368
Practice Address - Fax:706-647-4788
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2013-07-23
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Provider Licenses
StateLicense IDTaxonomies
GA070262208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA001623OtherPHYSICIAN, GENERAL SURGERY