Dr. Michael Edward Powell
Facial Plastic Surgeon
1702 Bent Pine Ln
Statham
, Georgia 30666-2602
Dr. Michael Edward Powell
Facial Plastic Surgeon
1702 Bent Pine Ln
Statham
, Georgia 30666-2602
(706) 548-3342
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael Edward Powell
- 1702 Bent Pine Ln
- Statham, GA
- Zip : 30666-2602
- Phone : (706) 548-3342
Second Address
- Dr. Michael Edward Powell
- 1702 Bent Pine Ln
- Statham, GA
- Zip : 30666-2602
- Phone : (706) 548-3342
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | GA20589 | GA |
National Provider Identifier
| NPI | 1164552220 |
|---|---|
| Provider Name | Dr. Michael Edward Powell |
| First Address | Statham, GA 30666-2602 |
| Second Address | Statham, GA 30666-2602 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/03/2007 |
| Last Update Date | 10/01/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.