| Powell Specialties Group Pllc | |
|
7476 Waterside Loop Rd Suite 600 Denver NC 28037-7679 | |
| (704) 601-4381 | |
| (704) 822-5997 |
| Full Name | Powell Specialties Group Pllc |
|---|---|
| Speciality | Dermatology |
| Location | 7476 Waterside Loop Rd, Denver, North Carolina |
| Authorized Official Name and Position | Debra Diane Powell (MANAGER) |
| Authorized Official Contact | 7049957941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powell Specialties Group Pllc 7476 Waterside Loop Rd Suite 600 Denver NC 28037-7679 Ph: (704) 601-4381 | Powell Specialties Group Pllc 7476 Waterside Loop Rd Suite 600 Denver NC 28037-7679 Ph: (704) 601-4381 |
| NPI Number | 1013146612 |
|---|---|
| Provider Enumeration Date | 07/06/2009 |
| Last Update Date | 07/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013146612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Primary |
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