Individual
MRS. MATTHEW CHARLES KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAED, ATC, LAT
Contact information
Practice address
SAMFORD UNIVERSITY 800 LAKESHORE DR, BIRMINGHAM, AL 35229-0001
(205) 726-4311
Mailing address
1206 LAKESHORE RDG, BIRMINGHAM, AL 35211-6954
(850) 572-7161
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
725
AL
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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