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Contact Information

GWENDOLYN KNUCKLES, MD
2317A EXECUTIVE PARK CIRCLE
GREENVILLE, NC27834
 Phone: 252-830-1035
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for GWENDOLYN KNUCKLES · (Female)

NPI # 1043253677
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2006
Last updated 11/13/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • NC License # 9501300
  • NC Medicaid 8949904
  • NC Other 770605415 FEDERAL TAX ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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