Individual
KAITLYN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1706 SAINT JULIAN PL, COLUMBIA, SC 29204-2410
(803) 771-7506
(803) 771-9455
Mailing address
1004 CHAFEE AVE, AUGUSTA, GA 30904-5810
(706) 721-6231
(706) 721-6220
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD51986
SC
Other
Enumeration date
05/22/2014
Last updated
03/27/2019
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