Knautz, Mark Allan
Knautz, Mark Allan is an individual health care provider with primary practice located at 5041 Dallas Hwy Suite D, Powder Springs GA 30127-6458. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Knautz, Mark Allan can be contacted via phone (770) 427-5467.Contact Information
Primary practice address
5041 Dallas Hwy Suite D
Powder Springs GA 30127-6458
Phone: (770) 427-5467
Fax: (770) 427-6340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 041328 | Georgia |
Profile Details
| NPI number | 1790743300 |
|---|---|
| LBN Legal business name | Knautz, Mark Allan |
| Credentials | MEDICAL DOCTOR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Dec 7th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790743300 | NPPES |
| Georgia | Other | 070008625 | MEDICARE RAILROAD |
| Georgia | Other | 52635067 | MEDICARE RAILROAD |
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