Organization
FAMILY HEALTH MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIE POWELL MD (OWNER)
(678) 999-7784
Entity
Organization
Contact information
Practice address
8697 HOSPITAL DR STE 201, DOUGLASVILLE, GA 30134-2225
(678) 999-7784
Mailing address
8697 HOSPITAL DR STE 201, DOUGLASVILLE, GA 30134-2225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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