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Individual

GWENDOLYN KNUCKLES

Active
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Individual

GWENDOLYN KNUCKLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
9501300
NC
207VG0400X
Gynecology Physician
Primary
9501300
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
770605415
FEDERAL TAX ID
NC
05
8949904
NC
Enumeration date
06/13/2006
Last updated
11/13/2025
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