Organization
CAROLINA BIOONCOLOGY INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN POWDERLY II M.D. (PRESIDENT)
(704) 947-6599
Entity
Organization
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
207RH0003X
Hematology & Oncology Physician
Primary
200000939
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12618
BCBS
NC
01
—
4859724
CIGNA
NC
05
—
5912664
—
NC
01
—
7435791
AETNA
NC
01
—
E2701
MEDCOST
NC
Enumeration date
07/16/2006
Last updated
07/15/2013
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