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Individual

MR. THEODORE SCOTT POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1942 AL HWY 157, CULLMAN, AL 35058
(256) 736-8998
(256) 736-8588
Mailing address
PO BOX 870, CULLMAN, AL 35056-0870
(256) 736-8998
(256) 736-8588

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
21862
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000948666
AL
05
051500645
AL
01
P00389542
RAILROAD MEDICARE
AL
Enumeration date
07/02/2006
Last updated
11/18/2016
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