Provider Demographics
NPI:1659972909
Name:KNIGHT, SHEILA L
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:L
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 WATERVILLE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-8131
Mailing Address - Country:US
Mailing Address - Phone:843-240-6192
Mailing Address - Fax:
Practice Address - Street 1:412 WATERVILLE DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-8131
Practice Address - Country:US
Practice Address - Phone:843-240-6192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide