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Individual

DR. ERIN KATHERINE POWELL ENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
801 POOLE DR, GARNER, NC 27529-5207
(919) 779-1440
(919) 662-0613
Mailing address
5221 PARAMOUNT PKWY, STE 200, MORRISVILLE, NC 27560-5490

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
141387
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141387
RTL
NC
05
5915370
NC
Enumeration date
06/28/2007
Last updated
07/03/2024
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