Doctor Name: | DR. TODD CHRISTOPHER KNUDSON |
NPI Number: | 1174717409 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., MPH; CPT MC FS |
License Number: | 0101244068 |
Business Practice Address: | 1061 Harmon Ave Ste 1d03 Winn Army Community Hospital Fort Stewart, GA - 313145641 |
Business Phone Number: | 9123155510 |
Business Fax Number: | |
Mailing Address: | Winn Army Community Hospital, FORT STEWART |
State: | GA |
Postal Code: | 313145674 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/29/2007 |
NPI Last Update Date: | 09/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101244068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |