Powell, James Gregory

Powell, James Gregory is an individual health care provider with primary practice located at 5909 Us Highway 49 Suite 30, Hattiesburg MS 39401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Powell, James Gregory can be contacted via phone (601) 296-2780.

Contact Information

Primary practice address
5909 Us Highway 49 Suite 30 Hattiesburg MS 39401
Fax: (601) 296-2781
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 17911 Mississippi

Profile Details

NPI number 1164523932
LBN Legal business name Powell, James Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164523932 NPPES
Mississippi Other 640507572TB AMERICAN ADMIN GROUP
Mississippi MEDICAID 07358051 AMERICAN ADMIN GROUP

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