Powell, Roy

Powell, Roy is an individual health care provider with primary practice located at 4030 Riverside Park Blvd , Macon GA 31210-1365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Powell, Roy can be contacted via phone (478) 474-2200.

Contact Information

Primary practice address
4030 Riverside Park Blvd Macon GA 31210-1365
Phone: (478) 474-2200
Fax: (478) 314-0740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 19981 Georgia

Profile Details

NPI number 1912905050
LBN Legal business name Powell, Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 8th, 2007 - about 17 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 1912905050 NPPES
Georgia MEDICAID 00306545A

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