Individual
JOHN DWYER POWDERLY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9801 KINCEY AVE, SUITE 145, HUNTERSVILLE, NC 28078-3110
(704) 947-6599
(704) 947-6597
Mailing address
PO BOX 3547, HUNTERSVILLE, NC 28070-3547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200000939
NC
207RH0003X
Hematology & Oncology Physician
Primary
200000939
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12618
BCBS INDIVIDUAL NUMBER
NC
01
—
203016908
TAX ID
NC
01
—
4859724
CIGNA
NC
01
—
7413187
AETNA PIN
NC
05
—
8912618
—
NC
01
—
E2701
MEDCOST
NC
Enumeration date
07/21/2006
Last updated
07/10/2013
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