Individual
MARTYN KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4414 LAKE BOONE TRL, SUITE 108, RALEIGH, NC 27607-7513
(919) 397-9772
Mailing address
4414 LAKE BOONE TRL, SUITE 108, RALEIGH, NC 27607-7513
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2015-00304
NC
2086S0129X
Vascular Surgery Physician
2015-00304
NC
Other
Enumeration date
07/23/2007
Last updated
04/01/2021
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