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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790743300 NPPES
Georgia Other 070008625 MEDICARE RAILROAD
Georgia Other 52635067 MEDICARE RAILROAD

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