Provider Demographics
NPI:1992835532
Name:KNIGHT, DORIAN S (LPN RVT)
Entity Type:Individual
Prefix:MS
First Name:DORIAN
Middle Name:S
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:LPN RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 PAMPLICO HIGHWAY
Mailing Address - Street 2:SUITE G
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505
Mailing Address - Country:US
Mailing Address - Phone:843-664-0882
Mailing Address - Fax:843-317-1815
Practice Address - Street 1:500 PAMPLICO HIGHWAY
Practice Address - Street 2:SUITE G
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505
Practice Address - Country:US
Practice Address - Phone:843-664-0882
Practice Address - Fax:843-317-1815
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC186782471S1302X
SCP000049882471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography