Provider Demographics
NPI:1659482867
Name:KNAUF, CONSTANCE W (CNM)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:W
Last Name:KNAUF
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:CONSTANCE
Other - Middle Name:CHRISTINE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3495 PIEDMONT ROAD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1736
Mailing Address - Country:US
Mailing Address - Phone:404-364-7000
Mailing Address - Fax:
Practice Address - Street 1:200 CRESCENT CENTRE PARK
Practice Address - Street 2:DEPARTMENT OF OBSTETRICS& GYNECOLOGY
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084
Practice Address - Country:US
Practice Address - Phone:770-496-3525
Practice Address - Fax:770-496-3709
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN090530207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
42BBBQRMedicare ID - Type Unspecified
Q28370Medicare UPIN