Individual
COURTNEY JENNINGS POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
236 BUTTERNUT LN, CLAYTON, NC 27520-5857
(919) 359-1011
Mailing address
45 WRENWOOD DR, CLAYTON, NC 27527-3384
(919) 801-6918
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08514
NC
Other
Enumeration date
10/19/2018
Last updated
11/15/2018
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