Individual
MISS MEREDITH POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 451-3001
Mailing address
228 CHAPELWOOD DR, FRANKLIN, TN 37069-6614
(615) 788-0302
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
120396455
TN
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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