Individual
LAUREN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9321
(615) 519-6067
Mailing address
1303 POLK ST, CORINTH, MS 38834-3327
(615) 519-6067
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34057
MS
Other
Enumeration date
07/02/2022
Last updated
12/09/2024
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