Individual
GRACE BECKHAM KNOTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1825 GA-34, NEWNAN, GA 30265
(770) 502-2121
Mailing address
4410 SKYLAND DR NE, ATLANTA, GA 30342-3422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9268
GA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/04/2019
Last updated
01/16/2024
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