Provider Demographics
NPI:1407870462
Name:MCKNIGHT, ROBERT ATKISON (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ATKISON
Last Name:MCKNIGHT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7101 US HIGHWAY 90
Mailing Address - Street 2:SUITE 202
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-9512
Mailing Address - Country:US
Mailing Address - Phone:251-625-8211
Mailing Address - Fax:251-625-8219
Practice Address - Street 1:7101 US HIGHWAY 90 STE 202
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-9517
Practice Address - Country:US
Practice Address - Phone:251-625-8211
Practice Address - Fax:251-625-8219
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2009-12-29
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Provider Licenses
StateLicense IDTaxonomies
AL13485207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC72592Medicare UPIN