Individual
CORTNEY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3045 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1443
(803) 747-7242
(803) 747-7243
Mailing address
3045 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1443
(803) 747-7242
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23731
SC
Other
Enumeration date
04/01/2020
Last updated
10/07/2021
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