Individual
JAMES GREGORY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5909 US HIGHWAY 49, SUITE 30, HATTIESBURG, MS 39401
(601) 296-2780
(601) 296-2781
Mailing address
415 SOUTH 28TH AVENUE, HATTIESBURG, MS 39401
(601) 296-2780
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
17911
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07358051
—
MS
01
—
640507572TB
AMERICAN ADMIN GROUP
MS
Enumeration date
09/26/2006
Last updated
07/20/2020
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