Individual
DR. CHARLES STEVEN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-4400
(252) 744-7623
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
31890
NC
2086S0129X
Vascular Surgery Physician
Primary
31890
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68834
BCBS NC
NC
01
—
770001434
RAILROAD MEDICARE
NC
05
—
8968834
—
NC
Enumeration date
09/20/2005
Last updated
08/20/2024
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