Provider Demographics
NPI:1639227671
Name:M. FRANK POWELL, MD, PC
Entity Type:Organization
Organization Name:M. FRANK POWELL, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:M
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-595-9080
Mailing Address - Street 1:PO BOX 840
Mailing Address - Street 2:
Mailing Address - City:THOMSON
Mailing Address - State:GA
Mailing Address - Zip Code:30824-0840
Mailing Address - Country:US
Mailing Address - Phone:706-595-9080
Mailing Address - Fax:706-595-7090
Practice Address - Street 1:464 MOUNT PLEASANT RD
Practice Address - Street 2:
Practice Address - City:THOMSON
Practice Address - State:GA
Practice Address - Zip Code:30824-8123
Practice Address - Country:US
Practice Address - Phone:706-595-9080
Practice Address - Fax:706-595-7090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA023663207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD40891Medicare UPIN
GAGRP4181Medicare ID - Type UnspecifiedPAMELA GRAY, MN, FNP
GAQ21200Medicare UPIN
GAGRP4181Medicare ID - Type UnspecifiedM FRANK POWELL, MD,PC