Healthcare Provider Details

I. General information

NPI: 1447870803
Provider Name (Legal Business Name): JAMES DONALD KNOWLES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2020
Last Update Date: 05/23/2022
Certification Date: 11/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5221 OAKBROOK DR
DURHAM NC
27713-8007
US

IV. Provider business mailing address

UNC PSYCHIATRY DEPARTMENT 101 MANNING DRIVE
CHAPEL HILL NC
27514
US

V. Phone/Fax

Practice location:
  • Phone: 503-260-0874
  • Fax:
Mailing address:
  • Phone: 984-974-5217
  • Fax: 984-974-9646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2022-00756
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: