Individual provider · Type 1 NPI

Raketra Rontrese Knight, PA

Medical Physician Assistant · Stockbridge, GA

NPI number 1083235972 Active

Practice location

830 Eagles Landing Pkwy Ste 202
Stockbridge, GA 30281-7366

Call (707) 991-2176 Map

Mailing address

860 Glenwood Ave SE Apt 223
Atlanta, GA 30316-1994

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X11022 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1083235972

Raketra Rontrese Knight, PA's National Provider Identifier is 1083235972, issued on May 1, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stockbridge, GA. The record was last updated on Jan 30, 2025.