Provider Demographics
NPI:1154401859
Name:KNIGHT, JONATHAN JULIAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:JULIAN
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 E WILLIAM WAINWRIGHT ST
Mailing Address - Street 2:
Mailing Address - City:REYNOLDS
Mailing Address - State:GA
Mailing Address - Zip Code:31076-3150
Mailing Address - Country:US
Mailing Address - Phone:478-847-3666
Mailing Address - Fax:478-847-2666
Practice Address - Street 1:2 E WILLIAM WAINWRIGHT ST
Practice Address - Street 2:
Practice Address - City:REYNOLDS
Practice Address - State:GA
Practice Address - Zip Code:31076-3150
Practice Address - Country:US
Practice Address - Phone:478-847-3666
Practice Address - Fax:478-847-2666
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA020486183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist