Individual
AYESHIA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 PEACHTREE ST NE, DAVIS FISCHER BUILDING, OFFICE 3245A, ATLANTA, GA 30308-2208
(404) 686-7858
Mailing address
1415 CHASTAIN DR NE, ATLANTA, GA 30342-4158
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN243586
GA
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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