person
Dr. Jess Averette Powell III, MD
Specialist in Shelby, North Carolina
NPI 1316926611

Jess Averette Powell III is a Specialist based in Shelby, NC. Jess Averette Powell III practices in Shelby, NC and has the professional credentials of MD. The NPI Number for Jess Averette Powell III is 1316926611 and holds a License No. 22163 (North Carolina).

The current practice location address for Jess Averette Powell III is 222 N Lafayette St, Shelby, NC and can be reached out via phone at 704-482-3880 and via fax at 704-487-0294.

Location: 222 N Lafayette St, Shelby, NC, 28150-4444
person
Provider Profile Details
NPI Number
1316926611
Provider Name
Jess Averette Powell III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
222 N Lafayette St, Shelby, NC, 28150-4444
Phone Number
704-482-3880
Fax Number
704-487-0294
Provider Enumeration Date
01/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8968644 05 NC
22163 01 NC NC MEDICAL LICENSE
68644 01 NC NC BLUE CROSS BLUE SHIELD
293590 05 SC
institution
Provider Business Practice Location Address Details
Address
222 N Lafayette St
City
State
Zip
28150-4444
Phone Number
704-482-3880
Fax Number
704-487-0294
person
Provider Business Mailing Address Details
Address
222 N Lafayette St
City
State
Zip
28150-4444
Phone Number
704-482-3880
Fax Number
704-487-0294
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
22163 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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