Individual
DR. PATRICK W. POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3022 N PATTERSON ST, VALDOSTA, GA 31602-1711
(229) 242-4017
Mailing address
3022 N PATTERSON ST, VALDOSTA, GA 31602-1711
(229) 242-4017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10566
GA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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