Provider Demographics
NPI:1295833176
Name:POWELL, ALISON BLOUNT (APRN BC)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:BLOUNT
Last Name:POWELL
Suffix:
Gender:F
Credentials:APRN BC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1705
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30903-1705
Mailing Address - Country:US
Mailing Address - Phone:706-774-7263
Mailing Address - Fax:706-774-7230
Practice Address - Street 1:336 GEORGIA AVE
Practice Address - Street 2:STE 106
Practice Address - City:NORTH AUGUSTA
Practice Address - State:SC
Practice Address - Zip Code:29841-3887
Practice Address - Country:US
Practice Address - Phone:803-279-1412
Practice Address - Fax:803-279-2858
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN150666363L00000X
SC2724363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ50328Medicare UPIN