Individual
PHILIP KNAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN224211
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN224211
GA
Other
Enumeration date
08/10/2016
Last updated
03/06/2017
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