Individual
TELATHA CORNELIA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 THURGOOD MARSHALL HWY STE B, KINGSTREE, SC 29556-4108
(843) 355-5628
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28995
SC
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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