Organization
CAROLINA ANTI-AGING AND NEUROPATHY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA D. POWELL PA-C (OWNER)
(704) 822-5433
Entity
Organization
Contact information
Practice address
7476 WATERSIDE LOOP RD, SUITE 600, DENVER, NC 28037-7679
(704) 822-5433
(704) 822-5997
Mailing address
7476 WATERSIDE LOOP RD, SUITE 600, DENVER, NC 28037-7679
(704) 822-5433
(704) 822-5997
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
190034
NC
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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