Individual
DR. MICHELE DENISE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7781 N POINT BLVD, WINSTON SALEM, NC 27106-3309
(336) 765-3430
(336) 765-3429
Mailing address
7781 N POINT BLVD, WINSTON SALEM, NC 27106-3309
(336) 765-3430
(336) 765-3429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20000150
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033392774
NPI
NC
05
—
89131Y7
—
NC
Enumeration date
12/17/2007
Last updated
08/08/2014
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