Individual
DR. GEORGE EDMUND POWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3226 HAMPTON AVE STE A, BRUNSWICK, GA 31520-4226
(912) 264-0760
(912) 264-5798
Mailing address
3226 HAMPTON AVE STE A, BRUNSWICK, GA 31520-4226
(912) 264-0760
(912) 264-5798
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
37046
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000360808G
—
GA
01
—
1821072398
NPI
—
01
—
37046
MEDICAL LICENSE
GA
01
—
926016
POCG
GA
05
—
REF000797672
—
GA
Enumeration date
11/30/2005
Last updated
03/07/2018
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