Individual
EDWARD WESLEY KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
911 S BROAD ST, SCOTTSBORO, AL 35768-2509
(256) 259-0185
(256) 259-0317
Mailing address
911 S BROAD ST, SCOTTSBORO, AL 35768-2509
(256) 259-0185
(256) 259-0317
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
17019
AL
208600000X
Surgery Physician
Primary
17019
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051555306
—
AL
01
—
51000144
BLUE CROSS
AL
Enumeration date
07/07/2005
Last updated
09/04/2014
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