Individual
LAWRENCE DONALD POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1595 CLEVELAND AVE, EAST POINT, GA 30344-3200
(404) 616-2886
(404) 209-1769
Mailing address
720 WESTVIEW DR SW, SUITE 100-A, ATLANTA, GA 30310-1458
(404) 756-1400
(404) 756-1402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
038915
GA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
038915
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000652198H
—
GA
05
—
000652198I
—
GA
05
—
08652198
—
GA
Enumeration date
05/05/2006
Last updated
08/29/2016
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