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Dale Knutson
NPI 1801185533 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1600 N Brown Rd
Lawrenceville, GA 30043 - Phone
- (678) 720-3562
- Organisation at this address
- Proactive Md Ga, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-04-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia