Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Po Powell Management Group, LLC

Organization Internal Medicine Physician · NPI 1760053581

Po Powell Management Group, LLC is an Internal Medicine Physician in Wallace, North Carolina. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

112 Medical Village Dr Ste F
Wallace, NC 28466-1665
Phone: (910) 665-1780
Fax: (910) 665-1780
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1760053581
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maryanna Johnson — Owner · (910) 552-1580
NPI enumeratedJuly 2, 2021
Last updated in NPPESJuly 2, 2021
Certification dateJuly 2, 2021
Mailing address4350 Nc Hwy 11, Willard, NC 28478-7006

Other providers in Wallace