Individual
CASEY KIM POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1075 SATELLITE BLVD NW, SUWANEE, GA 30024-4624
(678) 957-0757
(678) 957-9597
Mailing address
100 GALLERIA PKWY SE, SUITE 410, ATLANTA, GA 30339-3179
(770) 953-6929
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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