Individual
DR. STEPHEN H POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6324 FAIRVIEW RD, SUITE 310, CHARLOTTE, NC 28210-3271
(704) 316-6565
(704) 316-6560
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-6565
(704) 316-6560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9801022
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
9801022
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891171X
—
NC
05
—
N01023
—
SC
Enumeration date
06/08/2006
Last updated
02/14/2013
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