Organization
TOTALLY FIT 4 LIFE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA DIANE POWELL PA (PRESIDENT)
(704) 822-5433
Entity
Organization
Contact information
Practice address
7476 WATERSIDE LOOP RD, SUITE 600, DENVER, NC 28037-7679
(704) 822-5433
Mailing address
7476 WATERSIDE LOOP RD, SUITE 600, DENVER, NC 28037-7679
(704) 822-5433
Taxonomy
Speciality
Code
Description
License number
State
2084B0002X
Obesity Medicine (Psychiatry & Neurology) Physician
Primary
128967
NC
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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