Individual
JOHN S POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 GROVE RD, GMH ER ADMINISTRATION, GREENVILLE, SC 29605-5611
(864) 454-0888
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 455-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10947
SC
207Q00000X
Family Medicine Physician
10947
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109475
—
SC
01
—
20-10947
STATE CONT SUBST
SC
01
—
20009789
SELECT HEALTH IND
SC
01
—
20031678
SELECT HEALTH GRP
SC
01
—
57-6007863
AETNA
SC
01
—
576007863
CIGNA
SC
01
—
930082016
MEDICARE RAILROAD
SC
Enumeration date
07/19/2006
Last updated
03/07/2023
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