Individual
DR. MICHAEL EDWARD POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1702 BENT PINE LN, STATHAM, GA 30666-2602
(706) 548-3342
Mailing address
1702 BENT PINE LN, STATHAM, GA 30666-2602
(706) 548-3342
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
GA20589
GA
Other
Enumeration date
03/07/2007
Last updated
01/10/2017
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