Powellson, Matthew Daniel

Powellson, Matthew Daniel is an individual health care provider with primary practice located at 1310 Brampton Ave , Statesboro GA 30458-0851. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Powellson, Matthew Daniel can be contacted via phone (912) 486-1873.

Contact Information

Primary practice address
1310 Brampton Ave Statesboro GA 30458-0851
Phone: (912) 486-1873
Fax: (912) 486-2394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 066402 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 066402 Georgia

Profile Details

NPI number 1336345487
LBN Legal business name Powellson, Matthew Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Aug 26th, 2014 - about 10 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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