Provider Demographics
NPI:1558400234
Name:KNIGHT, TERRALON C (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRALON
Middle Name:C
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7450 ALBERT RD
Mailing Address - Street 2:FL 3
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-3035
Mailing Address - Country:US
Mailing Address - Phone:202-745-4300
Mailing Address - Fax:202-462-3428
Practice Address - Street 1:1638 GOOD HOPE RD SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-4706
Practice Address - Country:US
Practice Address - Phone:202-610-3880
Practice Address - Fax:202-610-0555
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2016-06-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD035495207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC024905300Medicaid