Individual
CONSTANCE BAILEY KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1005 BOULDER DR, GRAY, GA 31032
(478) 621-2100
(478) 744-0481
Mailing address
1005 BOULDER DR, GRAY, GA 31032-6141
(478) 621-2100
(478) 744-0481
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
RN111915
GA
363L00000X
Nurse Practitioner
34869
TN
363LF0000X
Family Nurse Practitioner
Primary
RN111915
GA
Other
Enumeration date
10/04/2011
Last updated
11/01/2023
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