Powell, Melissa A

Powell, Melissa A is an individual health care provider with primary practice located at 410 N State Of Franklin Rd Suite 130, Johnson City TN 37604-6971. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Powell, Melissa A can be contacted via phone (423) 431-2477.

Contact Information

Primary practice address
410 N State Of Franklin Rd Suite 130 Johnson City TN 37604-6971
Phone: (423) 431-2477
Fax: (423) 431-2478
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 16746 West Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 31797 Tennessee
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 31797 Tennessee
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 0101236366 Virginia

Profile Details

NPI number 1053407809
LBN Legal business name Powell, Melissa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Feb 8th, 2023 - about 3 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 1053407809 NPPES
Virginia MEDICAID 1053407809
Virginia MEDICAID 1053407809
Virginia MEDICAID 3004661000
Virginia Other P00358617
Virginia MEDICAID Q002848

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