Individual
JONATHAN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4312 HOLIDAY INN EXPRESS WAY NW STE 203, CLEVELAND, TN 37312-1469
(423) 778-5661
(423) 778-5664
Mailing address
4312 HOLIDAY INN EXPRESS WAY NW STE 203, CLEVELAND, TN 37312-1469
(423) 778-5661
(423) 778-5664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME126950
FL
207RC0000X
Cardiovascular Disease Physician
Primary
MD0000056838
TN
Other
Enumeration date
05/05/2014
Last updated
06/04/2020
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