Healthcare Provider Details

I. General information

NPI: 1447234778
Provider Name (Legal Business Name): PATRICIA ANN POWERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PATRICIA ANN ZIMMERMAN MD

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 03/09/2023
Certification Date: 03/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20304 TIMBERLAKE RD
LYNCHBURG VA
24502
US

IV. Provider business mailing address

20304 TIMBERLAKE RD
LYNCHBURG VA
24502
US

V. Phone/Fax

Practice location:
  • Phone: 434-382-1825
  • Fax: 434-208-2682
Mailing address:
  • Phone: 434-382-1825
  • Fax: 434-208-2682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number0101237194
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: