Individual provider · Type 1 NPI
Michael Edward Powell, MD
Facial Plastic Surgery Physician · Statham, GA
NPI number
1164552220
Active
Practice location
1702 Bent Pine Ln
Statham, GA 30666-2602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | GA20589 (GA) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
About NPI 1164552220
Michael Edward Powell, MD's National Provider Identifier is 1164552220, issued on Mar 7, 2007. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Statham, GA. The record was last updated on Jan 10, 2017.