Individual
DEMETRI TONY POULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 HOSPITAL DR STE 1B, HENDERSONVILLE, NC 28792-5252
(828) 650-6822
(828) 650-6827
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5616
(828) 650-8073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200301402
NC
208600000X
Surgery Physician
Primary
200301402
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13563
BC/BS OF NC
—
05
—
8913563
—
NC
Enumeration date
11/14/2005
Last updated
10/14/2025
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