| Dr Dale Grant Knutson, | |
|
1600 N Brown Rd, Lawrenceville, GA 30043-8141 | |
| (678) 720-3562 | |
| Not Available |
| Full Name | Dr Dale Grant Knutson |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1600 N Brown Rd, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801185533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 17931 (Georgia) | Primary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191218003345 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dale Grant Knutson, 1600 N Brown Rd, Lawrenceville, GA 30043-8141 Ph: (678) 720-3562 | Dr Dale Grant Knutson, 1600 N Brown Rd, Lawrenceville, GA 30043-8141 Ph: (678) 720-3562 |
Howard Ross Ellis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 665 Duluth Hwy Ste 920, Lawrenceville, GA 30046 Phone: 678-312-5250 | |
Anuradha N Sheth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 755 Old Norcross Rd, Lawrenceville, GA 30045 Phone: 770-277-6725 Fax: 770-277-9169 | |
Dr. Venkateswara Rao Dikkala, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2775 Cruse Rd, Suite 1801, Lawrenceville, GA 30044 Phone: 678-380-9199 Fax: 908-634-2861 | |
Navneet Kaur Brar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3356 | |
Dr. Claire Dudley Wilkiemeyer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 945 River Centre Pl, Suite 200, Lawrenceville, GA 30043 Phone: 678-646-0404 | |
Dr. Anna Jung, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 595 Hurricane Shoals Rd Nw, Suite 300, Lawrenceville, GA 30046 Phone: 770-995-0823 Fax: 770-995-7018 | |
Scott Darby, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 Phone: 770-995-0823 Fax: 770-995-7018 |