Individual
CHARLES HILL POWELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5779 CREEKWOOD PARK BLVD, LENOIR CITY, TN 37772-1203
(865) 988-6330
Mailing address
PO BOX 440332, NASHVILLE, TN 37244-0332
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA0000003764
TN
363AM0700X
Medical Physician Assistant
Primary
3764
TN
Other
Enumeration date
03/25/2019
Last updated
07/26/2019
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