Provider Demographics
NPI:1386008928
Name:KNIGHT, JOHN O'CONNELL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:O'CONNELL
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:971 LAKELAND DR STE 450
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4615
Mailing Address - Country:US
Mailing Address - Phone:601-948-5158
Mailing Address - Fax:
Practice Address - Street 1:971 LAKELAND DR STE 450
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4615
Practice Address - Country:US
Practice Address - Phone:601-948-5158
Practice Address - Fax:601-326-4265
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-10
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS29037207RE0101X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty