Individual
DR. TIMOTHY JOHN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 W 4TH ST STE 201, COOKEVILLE, TN 38501-2413
(931) 783-4269
(931) 372-0401
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD31584
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4256820
BCBS
TN
05
—
7100155930
—
KY
05
—
Q031095
—
TN
Enumeration date
06/09/2005
Last updated
05/01/2025
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