Individual
DR. AVA ANN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
070529
GA
2085R0202X
Diagnostic Radiology Physician
Primary
5101017313
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003137958A
—
GA
05
—
003137966A
—
GA
01
—
52609286001
BCBSGA
GA
01
—
52609286002
BCBSGA
GA
01
—
P01224298
RAILROAD MEDICARE
GA
Enumeration date
02/26/2009
Last updated
03/04/2021
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