Individual
TONYA POWERS CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
893 MARTINS GOLD MINE RD, SMYRNA, SC 29743-9700
(704) 616-7330
Mailing address
893 MARTINS GOLD MINE RD, SMYRNA, SC 29743-9700
(704) 616-7330
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101253670
VA
207L00000X
Anesthesiology Physician
Primary
9801450
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050082267
MEDICARE ID
NC
01
—
050092405
MEDICARE ID
NC
01
—
130R0
BLUE CROSS
NC
05
—
216812
—
SC
05
—
8913ORO
—
NC
Enumeration date
06/14/2006
Last updated
10/11/2022
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