Doctor Name: | DR. JOEL ALONZO POWELL |
NPI Number: | 1700185642 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301041543 |
Business Practice Address: | 1304 13th Ave Se Ste A Decatur, AL - 356014359 |
Business Phone Number: | 2563401251 |
Business Fax Number: | 2563536723 |
Mailing Address: | 1304 13th Ave Se, Suite A DECATUR |
State: | AL |
Postal Code: | 356014359 |
Phone Number: | 2563401251 |
Fax Number: | 6018257280 |
NPI Enumeration Date: | 03/17/2011 |
NPI Last Update Date: | 09/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301041543 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |