Powell, Peggie L

Powell, Peggie L is an individual health care provider with primary practice located at 1755 N Mecklenburg Ave , South Hill VA 23970-4080. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Powell, Peggie L can be contacted via phone (434) 584-2273.

Contact Information

Primary practice address
1755 N Mecklenburg Ave South Hill VA 23970-4080
Phone: (434) 584-2273
Fax: (434) 584-5517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 0024166112 Virginia

Profile Details

NPI number 1740286939
LBN Legal business name Powell, Peggie L
Credentials DNP FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Mar 12th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740286939 NPPES
Virginia Other 010105013 VA PREMIER
Virginia MEDICAID 010105013 VA PREMIER
Virginia Other P00362126 VA PREMIER
Virginia MEDICAID 010104998 VA PREMIER
Virginia MEDICAID 010252849 VA PREMIER

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