Provider Demographics
NPI:1619219862
Name:PEARSON, COURTNEY SCHNELL (MD)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:SCHNELL
Last Name:PEARSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7473-C HWY 22
Mailing Address - Street 2:
Mailing Address - City:WHISPERING PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28327
Mailing Address - Country:US
Mailing Address - Phone:910-878-5100
Mailing Address - Fax:
Practice Address - Street 1:7473-C HWY 22
Practice Address - Street 2:
Practice Address - City:WHISPERING PINES
Practice Address - State:NC
Practice Address - Zip Code:28327
Practice Address - Country:US
Practice Address - Phone:910-878-5100
Practice Address - Fax:910-878-5114
Is Sole Proprietor?:No
Enumeration Date:2013-03-25
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390200000X
NC2021-02849207Q00000X
DEC1-0013367207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program