| Doctor Name: | GEORGE KECK POWELL |
| NPI Number: | 1194130278 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MMD 13727 MD |
| Business Practice Address: | 317 Osprey Cir Saint Marys, GA - 315584143 |
| Business Phone Number: | 9128828270 |
| Business Fax Number: | 9128828270 |
| Mailing Address: | 317 Osprey Cir, SAINT MARYS |
| State: | GA |
| Postal Code: | 315584143 |
| Phone Number: | 9128828270 |
| Fax Number: | 9128828270 |
| NPI Enumeration Date: | 06/26/2014 |
| NPI Last Update Date: | 06/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MMD 13727 MD |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |