Provider Demographics
NPI:1356183511
Name:MCKNIGHT, DAVINA (ACC)
Entity type:Individual
Prefix:
First Name:DAVINA
Middle Name:
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:ACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 SHEFFIELD PL # 102
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30121-8419
Mailing Address - Country:US
Mailing Address - Phone:404-483-7266
Mailing Address - Fax:
Practice Address - Street 1:102 SHEFFIELD PL # 102
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30121-8419
Practice Address - Country:US
Practice Address - Phone:404-483-7266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty