Individual
CHARLES PAYNE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
285 BOULEVARD NE STE 310, ATLANTA, GA 30312-4209
(404) 581-9401
(404) 581-9403
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 541-5492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014597
GA
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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