Healthcare Provider Details

I. General information

NPI: 1609802610
Provider Name (Legal Business Name): GEORGE C POWERS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 MORPHY AVE
FAIRHOPE AL
36532-1812
US

IV. Provider business mailing address

1725 SPRING HILL AVE
MOBILE AL
36604-1402
US

V. Phone/Fax

Practice location:
  • Phone: 251-435-1366
  • Fax: 251-435-1616
Mailing address:
  • Phone: 251-435-1366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberK6909
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberK6909
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: