Individual
TIFFANY ANN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
70 WESTWIND RD, MONETA, VA 24121-3726
(540) 721-7333
(540) 721-4971
Mailing address
70 WESTWIND RD, MONETA, VA 24121-3726
(540) 721-7333
(540) 721-4971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101050306
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010038545
—
VA
01
—
466530
ANTHEM
—
01
—
P00086303
MEDICARE RR
—
Enumeration date
12/22/2005
Last updated
06/05/2019
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