| Doctor Name: | MARY JANE KNIGHT |
| NPI Number: | 1093090573 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 006582267 |
| Business Practice Address: | 12447 Fawn Wood Drive Walker, LA - 707855754 |
| Business Phone Number: | 2253233475 |
| Business Fax Number: | 2252723877 |
| Mailing Address: | 12447 Fawn Wood Dr, WALKER |
| State: | LA |
| Postal Code: | 707855754 |
| Phone Number: | 2253233475 |
| Fax Number: | 2252713877 |
| NPI Enumeration Date: | 10/17/2011 |
| NPI Last Update Date: | 10/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 172A00000X |
| License Number: | 006582267 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Driver |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |