Individual
DR. KEVIN LAMAR POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 PROMINENCE CT STE 200, DAWSONVILLE, GA 30534-6372
(770) 219-9200
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
61640
GA
208600000X
Surgery Physician
ME155682
FL
Other
Enumeration date
07/26/2006
Last updated
12/13/2024
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