JACK POWELL

GAINESVILLE, GA
NPI1023489937
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN202066)
Enumeration Date2015-10-19
Last Update Date2019-09-04
Business Address
JACK POWELL CRNA
743 SPRING ST NE
GAINESVILLE, GA 30501-3715
Phone number: 770-532-7179
Mailing Address
JACK POWELL CRNA
1557 JANMAR RD
SNELLVILLE, GA 30078-5686
Phone number: 678-344-8900
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