Provider Demographics
NPI:1649584962
Name:POWERS, ALAN JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:JAMES
Last Name:POWERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 12TH AVE S
Mailing Address - Street 2:#709
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-6615
Mailing Address - Country:US
Mailing Address - Phone:615-300-5487
Mailing Address - Fax:
Practice Address - Street 1:600 12TH AVE S
Practice Address - Street 2:#709
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-6615
Practice Address - Country:US
Practice Address - Phone:615-300-5487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST-2349208600000X
TN49279208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208600000XAllopathic & Osteopathic PhysiciansSurgery