Individual
DEBRA D POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7476 WATERSIDE LOOP RD. STE 600, PIEDMONT PLASTIC SURGERY AND DERMATOLOGY, DENVER, NC 28037
(704) 601-4381
(704) 822-5997
Mailing address
1072 XRAY DR, GASTONIA, NC 28054
(704) 671-1094
(704) 671-1095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101768
NC
Other
Enumeration date
05/18/2006
Last updated
06/23/2020
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