Provider Demographics
NPI:1518020940
Name:KNOX, STEVEN C (DC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:C
Last Name:KNOX
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 N THORNTON AVE
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-3465
Mailing Address - Country:US
Mailing Address - Phone:706-275-0607
Mailing Address - Fax:706-275-0540
Practice Address - Street 1:310 N THORNTON AVE
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-3465
Practice Address - Country:US
Practice Address - Phone:706-275-0607
Practice Address - Fax:706-275-0540
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR002730111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCCPKMedicare ID - Type Unspecified