Mark Allan Knautz, Medical Doctor
Dermatology in Powder Springs, GA. Individual provider (NPI-1).
NPI number1790743300
StatusActive
Last updated in NPPESDec 7, 2011
Details
- NPI
- 1790743300
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark Allan Knautz
- Credential
- Medical Doctor
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 3, 2006
- Last updated
- Dec 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 041328 | GA | Yes |
Practice location
5041 Dallas HwySuite D
Powder Springs, GA 30127-6458
Phone 770-427-5467 · Fax 770-427-6340
Mailing address
111 Marble Mill Rd NwMarietta, GA 30060-1047
Phone 770-422-1013 · Fax 770-514-5996
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