Individual provider · Type 1 NPI

Casey Kim Powell, PA-C

Surgical Physician Assistant · Suwanee, GA

NPI number 1437345782 Active

Practice location

1075 Satellite Blvd NW
Suwanee, GA 30024-4624

Fax (678) 957-9597

Mailing address

100 Galleria Pkwy SE, Suite 410
Atlanta, GA 30339-3179

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

2 other providers at this address

About NPI 1437345782

Casey Kim Powell, PA-C's National Provider Identifier is 1437345782, issued on Sep 20, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Suwanee, GA. The record was last updated on Sep 20, 2007.