| NPI | 1346722964 |
|---|---|
| Doing Business As | POWELL TOTAL MEDICAL AND SERENITY |
| Entity Type | Organization |
| Authorized Contact | FRED JOE POWELL Owner 912-729-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: GA 65488) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: GA 65488) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |