Individual
EMILY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
300 MOORESVILLE RD, KANNAPOLIS, NC 28081-0304
(704) 920-1310
(704) 934-4270
Mailing address
300 MOORESVILLE RD, KANNAPOLIS, NC 28081-0304
(704) 920-1000
(704) 934-4270
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103157
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232009
MEDICARE PTAN - GROUP
NC
01
—
DF8926
RAILROAD MEDICARE PTAN - GROUP
NC
01
—
P00724845
RAILROAD MEDICARE PTAN - INDIVIDUAL
NC
Enumeration date
11/30/2006
Last updated
04/11/2022
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