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Individual

MR. DONALD HAMMOND POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-4858
(706) 432-3780
Mailing address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-4858
(706) 432-3780

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
033947
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000606317B
GA
Enumeration date
09/28/2009
Last updated
01/12/2010
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