MEDICARE: ADAM POWELL MD

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
1	208000000X	Pediatrics Physician	38937	AL

General Provider Information

NPI Number	:	1205333606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM POWELL MD

Provider Business Mailing Address
First Line	:	2227 DRAKE AVE SW STE 28
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35805-5146
Country	:	US
Telephone Number	:	256-533-6644
Fax Number	:

Provider Business Practice Location Address
First Line	:	2227 DRAKE AVE SW STE 28
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35805-5146
Country	:	US
Telephone Number	:	256-533-6644
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2018
Last Update Date	:	08/22/2023

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Directions to “ ADAM POWELL MD” Practice Location

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