Basic Information
Provider Information
NPI: 1356621890
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KNIGHT
FirstName: WILLIAM
MiddleName: B
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 15849
Address2:  
City: SAVANNAH
State: GA
PostalCode: 314162549
CountryCode: US
TelephoneNumber: 9123033552
FaxNumber: 9123033506
Practice Location
Address1: 1326 EISENHOWER DR BLDG 1
Address2:  
City: SAVANNAH
State: GA
PostalCode: 31406
CountryCode: US
TelephoneNumber: 9126914100
FaxNumber: 9126914289
Other Information
ProviderEnumerationDate: 08/27/2011
LastUpdateDate: 05/16/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X080451GAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home