Organization
TEAMHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH POWELL (PHYSICIAN ASSISTANT)
(228) 383-6307
Entity
Organization
Contact information
Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 769-3000
Mailing address
265 BROOKVIEW CENTRE WAY STE 400, KNOXVILLE, TN 37919-4052
(865) 293-5250
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
303898
LA
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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