Individual
JACK RICHMOND POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
ONE HOSPTIAL DRIVE S. E., HUNTSVILLE, AL 35801
(256) 880-4186
Mailing address
7800 DOUBLETREE DRIVE SE, HUNTSVILLE, AL 35802
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-084275
AL
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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