Basic Information
Provider Information
NPI: 1548269053
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KNAPP
FirstName: WILLIAM
MiddleName: S.
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 95 COLLIER RD NW
Address2: 2065
City: ATLANTA
State: GA
PostalCode: 303091796
CountryCode: US
TelephoneNumber: 4046052800
FaxNumber: 4047200911
Practice Location
Address1: 95 COLLIER RD NW
Address2: 2065
City: ATLANTA
State: GA
PostalCode: 303091796
CountryCode: US
TelephoneNumber: 4046052800
FaxNumber: 4047200911
Other Information
ProviderEnumerationDate: 07/18/2005
LastUpdateDate: 02/19/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X017225GAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RI0011X017225GAY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

No ID Information.


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