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NPI Code Detail

MEDICARE: DR. CHRISTOPHER LEE POWELL M.D.

MEDICARE:  DR. CHRISTOPHER LEE POWELL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician94-07414KS

General Provider Information

NPI Number : 1205156320
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER LEE POWELL M.D.
Provider Business Mailing Address
First Line : WEST GEORGIA UROLOGY ASSOCIATES
Second Line : 150 CLINIC AVE STE 202
City : CARROLLTON
State : GA
Zip : 30117-4402
Country : US
Telephone Number : 770-834-6988
Fax Number : 770-834-1090
Provider Business Practice Location Address
First Line : WEST GEORGIA UROLOGY ASSOCIATES
Second Line : 150 CLINIC AVE STE 202
City : CARROLLTON
State : GA
Zip : 30117-4402
Country : US
Telephone Number : 770-834-6988
Fax Number : 770-834-1090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2010
Last Update Date : 09/05/2025

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Directions to “ DR. CHRISTOPHER LEE POWELL M.D.” Practice Location

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