Individual
DR. DALE GRANT KNUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 N BROWN RD, LAWRENCEVILLE, GA 30043-8141
(678) 720-3562
Mailing address
1600 N BROWN RD, LAWRENCEVILLE, GA 30043-8141
(678) 720-3562
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17931
GA
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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