Provider Demographics
NPI:1740366798
Name:KNOWLES, JAMES BARRON (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BARRON
Last Name:KNOWLES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:WARM SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:31830-1000
Mailing Address - Country:US
Mailing Address - Phone:706-655-5337
Mailing Address - Fax:706-655-5299
Practice Address - Street 1:6391 ROOSEVELT HIGHWAY
Practice Address - Street 2:
Practice Address - City:WARM SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:31830
Practice Address - Country:US
Practice Address - Phone:706-655-5337
Practice Address - Fax:706-655-5299
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA009537208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00239335BMedicaid
GA25BBFSHMedicare ID - Type Unspecified
GAD40372Medicare UPIN