Individual
MRS. VALERIA DIXON POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2157 AUTUMN CHASE DR, STOCKBRIDGE, GA 30281-9207
(770) 731-9330
Mailing address
2157 AUTUMN CHASE DR, STOCKBRIDGE, GA 30281-9207
(770) 731-9330
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN057636
GA
Other
Enumeration date
08/04/2011
Last updated
10/05/2021
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