Powell, Matthew R

Powell, Matthew R is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Powell, Matthew R can be contacted via phone (706) 721-5118.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Phone: (706) 721-5118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 81247 Georgia
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 81247 Georgia

Profile Details

NPI number 1497137301
LBN Legal business name Powell, Matthew R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2015
Last updated Apr 27th, 2020 - about 5 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 1497137301 NPPES
Georgia Other 81247 GA MEDICAL LICENSE

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