Individual
ANFERNEE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
161 MAIN ST, GORDON, GA 31031-3817
(478) 233-5144
Mailing address
PO BOX 430, GORDON, GA 31031-0430
(478) 233-5144
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/29/2021
Last updated
05/13/2022
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