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Individual

DR. KEN GORDON KNOTT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1455 BELLS FERRY RD, SUITE 100, MARIETTA, GA 30066-6078
(770) 421-8094
(770) 421-8096
Mailing address
1455 BELLS FERRY RD, SUITE 100, MARIETTA, GA 30066-6078
(770) 421-8094
(770) 421-8096

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
024282
GA

Other

Enumeration date
06/03/2006
Last updated
07/08/2007
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