Doctor Name: | ZACKARY POWERS |
NPI Number: | 1285046029 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 23922 |
Business Practice Address: | 201 Independence Rm 1137 Columbus, MS - 397105300 |
Business Phone Number: | 6154050155 |
Business Fax Number: | |
Mailing Address: | 201 Independence, Rm 1137 COLUMBUS |
State: | MS |
Postal Code: | 397105300 |
Phone Number: | 6154050155 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2014 |
NPI Last Update Date: | 10/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 23922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |