Individual
JEREMIAH POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
381 RUIN CREEK RD, HENDERSON, NC 27536-2932
(252) 430-0666
Mailing address
340 CASCADE HILLS LN, WAKE FOREST, NC 27587-2147
(919) 632-3455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09738
NC
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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