# POWELL FAMILY MEDICINE ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568481562
- **Authorized official:** DR. ROBERTA F LEE-POWELL DO (PHYSICIAN DIRECTOR)
- **Authorized official phone:** (215) 438-1030

## Contact information

- **Practice address:** 6013 GREENE ST, PHILADELPHIA, PA 19144-2759
- **Practice address phone:** (215) 438-1030
- **Practice address fax:** (215) 438-4579
- **Mailing address:** 6013 GREENE ST, PHILADELPHIA, PA 19144-2759
- **Mailing address phone:** (215) 438-1030
- **Mailing address fax:** (215) 438-4579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 08/22/2020