Individual
SUMMER ALYSE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911-4668
(434) 654-7150
Mailing address
2652 WINCOTT DR, GOOCHLAND, VA 23063-2654
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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