Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS J KNACKSTEDT, M.D.
ActiveObesity Medicine · FUQUAY VARINA, NC
Registration Details
- NPI Number
- 1447545603
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2011 (14.848681876815 yrs)
- Last Updated
- Jul 7, 2023
- Licenses
-
2022-01519 (NC)2022-01519 (NC)2022-01519 (NC)
Practice Information
- Address
-
1006 PROCURE ST STE 100FUQUAY VARINA, NC, 275262627Browse NC providers · Browse ZIP 27526
- Phone
- 9197626845
- Fax
- 9197626865
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Obesity Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.