Individual
JACK H. POWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1755 HIGHWAY 34 E, SUITE 2200, NEWNAN, GA 30265-5631
(770) 502-2175
(770) 502-2131
Mailing address
1755 HIGHWAY 34 E, SUITE 2200, NEWNAN, GA 30265-5631
(770) 502-2175
(770) 502-2131
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
019750
GA
Other
Enumeration date
10/10/2006
Last updated
05/23/2013
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