Michael Edward Powell, MD Valid NPI

Individual provider · Facial Plastic Surgery Physician · Statham, GA

NPI

1164552220

Type

Individual (Type 1)

Primary specialty

Facial Plastic Surgery Physician (Otolaryngology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207YS0123X

License number

GA20589 (GA)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-03-07

Last updated

2017-01-10