Individual
DERWIN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2100 SHILOH VALLEY DR NW APT 1323, KENNESAW, GA 30144-3179
(931) 216-8092
Mailing address
2100 SHILOH VALLEY DR NW APT 1323, KENNESAW, GA 30144-3179
(931) 216-8092
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
203006
GA
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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