Individual
DIANNE MARIE KNETTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MS
Contact information
Practice address
37 CALUMET PKWY STE 100, NEWNAN, GA 30263-6734
(770) 304-0072
(678) 669-2693
Mailing address
200 WESTPARK DR STE 325, PEACHTREE CITY, GA 30269-3574
(770) 486-1140
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
243367
GA
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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