Powell, Lawrence Donald

Powell, Lawrence Donald is an sole proprietor health care provider with primary practice located at 1595 Cleveland Ave , East Point GA 30344-3200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Powell, Lawrence Donald can be contacted via phone (404) 616-2886.

Contact Information

Primary practice address
1595 Cleveland Ave East Point GA 30344-3200
Phone: (404) 616-2886
Fax: (404) 209-1769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 038915 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 038915 Georgia

Profile Details

NPI number 1760430003
LBN Legal business name Powell, Lawrence Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Aug 29th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760430003 NPPES
Georgia MEDICAID 000652198I
Georgia MEDICAID 08652198
Georgia MEDICAID 000652198H

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