MEDICARE: ERIC M KNAUER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	053324	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841207917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC M KNAUER MD

Provider Business Mailing Address
First Line	:	550 PEACHTREE ST NE STE 1430
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2242
Country	:	US
Telephone Number	:	404-686-8215
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 PEACHTREE ST NE STE 1430
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2242
Country	:	US
Telephone Number	:	404-686-8215
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	08/27/2024

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