Individual
MRS. LINDSAY S POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1204 E CHEVES ST, FLORENCE, SC 29506-2710
(843) 673-0122
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1240
SC
363AM0700X
Medical Physician Assistant
LL1240
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0702PA
—
SC
05
—
2277
—
SC
05
—
PA4110
—
SC
Enumeration date
09/19/2007
Last updated
09/28/2022
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