Individual
KAILLIE BROOKE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
101 MAYO ST STE A&B, AMERICUS, GA 31709-3695
(229) 924-4647
Mailing address
101 MAYO ST STE A&B, AMERICUS, GA 31709-3695
(229) 924-4647
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH045491
GA
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/20/2024
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