Individual
DR. STEPHEN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1230 AMELIA ST, ORANGEBURG, SC 29115-5478
(803) 531-0061
(803) 531-0095
Mailing address
5033B TREXLER AVE, HOLLYWOOD, SC 29449-5810
(803) 571-2161
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
643
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246383
—
SC
Enumeration date
02/10/2006
Last updated
09/30/2011
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