Jack Powell, CRNA
NPI #1023489937 in Gainesville, Georgia
Provider Information
- NPI Number
- 1023489937
- Entity Type
- Individual
- Name
- Jack Powell, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Oct 19, 2015
- Last Updated
- Sep 4, 2019
Practice Location
- Address
- 743 SPRING ST NE
- City
- Gainesville
- State
- Georgia
- ZIP Code
- 30501-3715
- Phone
- (770) 532-7179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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