Po Powell Management Group, LLC

NPI #1760053581 in Wallace, North Carolina

Provider Information

NPI Number: 1760053581
Entity Type: Organization
Organization Name: Po Powell Management Group, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 2, 2021
Last Updated: Jul 2, 2021

Practice Location

Address: 112 MEDICAL VILLAGE DR STE F
City: Wallace
State: North Carolina
ZIP Code: 28466-1665
Phone: (910) 665-1780

Authorized Official

Name: MARYANNA JOHNSON, FNP-C
Title: OWNER
Phone: (910) 552-1580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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