Individual
TALESSA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 E BOYD AVE, SUITE 100, GREENFIELD, IN 46140-2816
(317) 462-5252
(317) 462-8010
Mailing address
300 E BOYD AVE, SUITE 100, GREENFIELD, IN 46140-2816
(317) 462-5252
(317) 462-8010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01049053
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200270310
—
IN
Enumeration date
10/03/2006
Last updated
03/29/2021
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