Individual
DR. JIMMIE POWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5435 JEFFERSON RD STE 400, ATHENS, GA 30607-1732
(706) 247-8800
Mailing address
5435 JEFFERSON RD STE 400, ATHENS, GA 30607-1732
(706) 247-8800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11414
NC
1223G0001X
General Practice Dentistry
Primary
DN122990
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11414
LICENSE
NC
Enumeration date
06/07/2019
Last updated
04/17/2025
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