Individual
TIERANY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5271 GETWELL RD STE A, SOUTHAVEN, MS 38672-9608
(662) 349-3512
Mailing address
930 MADISON AVE FL 6, MEMPHIS, TN 38103-3461
(901) 448-8393
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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