Jason Layne Powell

NPI #1295551372 in Sylvester, Georgia

Provider Information

NPI Number: 1295551372
Entity Type: Individual
Name: Jason Layne Powell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Nov 23, 2024
Last Updated: Nov 23, 2024

Practice Location

Address: 102 W LONGLEAF DR
City: Sylvester
State: Georgia
ZIP Code: 31791-7791
Phone: (229) 894-4813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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