Individual
BETHANY POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4120 HIGHWAY 24, ANDERSON, SC 29621-5321
(864) 224-4003
(864) 224-4999
Mailing address
4120 HIGHWAY 24, ANDERSON, SC 29621-5321
(864) 224-4003
(864) 224-4999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1489
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014898
—
SC
Enumeration date
02/27/2011
Last updated
10/13/2015
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