Individual
CHANTAE KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
516 LAKEWOOD AVE, BRUNSWICK, GA 31520-2605
(912) 506-5644
Mailing address
516 LAKEWOOD AVE, BRUNSWICK, GA 31520-2605
(912) 506-5644
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/10/2015
Last updated
01/15/2017
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