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NPI Code Detail

MEDICARE: MOLLY AARON POWELL MD

MEDICARE: MOLLY AARON POWELL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramNC

General Provider Information

NPI Number : 1245176874
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY AARON POWELL MD
Provider Business Mailing Address
First Line : 817 ALLISTER DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28227-1262
Country : US
Telephone Number : 336-695-9653
Fax Number :
Provider Business Practice Location Address
First Line : 1350 S KINGS DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28207-2134
Country : US
Telephone Number : 704-446-1242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 05/27/2026

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