Individual
REBECCA R POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
117 E F ST, ELIZABETHTON, TN 37643-3253
(423) 547-9355
(423) 702-4419
Mailing address
117 E F ST, ELIZABETHTON, TN 37643-3253
(423) 547-9355
(423) 702-4419
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD34154
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I370693
MEDICARE PTAN
—
05
—
1526375
—
TN
Enumeration date
09/30/2005
Last updated
06/20/2012
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