Individual
DR. ANDREW J POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 HICKORY BEND DR, CABOT, AR 72023-8183
(501) 605-1144
(501) 605-1144
Mailing address
PO BOX 500, CABOT, AR 72023-0500
(501) 605-1144
(501) 605-1144
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C-6870
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117390001
—
AR
01
—
50363
'ALL OTHER INS COMPANIES'
AR
Enumeration date
08/17/2006
Last updated
11/07/2016
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