Jeremy Troy Powell PA-C

NPI 1073862298 - Physician Assistant - 363A00000X

NPI Details
NPI 1073862298
Gender Male
Enumeration Date 09/04/2012
Last Updated 03/05/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
201 INDEPENDENCE STE 240
COLUMBUS MS, 39710-5300, US
Phone (662) 434-2171
Fax
Business Location
201 INDEPENDENCE STE 240
COLUMBUS MS, 39710-5300, US
Phone (850) 699-0339
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Mr. Jeremy Troy Powell PA-C NPI is 1073862298, taxonomy code is 363A00000X Jeremy Troy Powell PA-C physically located at 201 Independence Ste 240, Columbus MS, 39710-5300. NPI Number Jeremy Troy Powell PA-C has the Individual type.

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1073862298 NPI number is provided on an as is basis without warranty of any kind. 1073862298 is maintained by the National Plan & Provider Enumeration System. The contents of Jeremy Troy Powell PA-C are for informational purposes only.