Individual
GWENDOLYN KNUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2317A EXECUTIVE PARK CIRCLE, GREENVILLE, NC 27834
(252) 830-1035
Mailing address
2317A EXECUTIVE PARK CIRCLE, GREENVILLE, NC 27834
(252) 830-1035
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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