Individual
DR. MARWAN TAHIR POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(518) 262-3773
Mailing address
PO BOX 1070, CHARLOTTE, NC 28201-1070
(518) 262-3773
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2009-00257
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1512J
BLUE CROSS AND BLUE SHIELD
NC
05
—
5911561
—
NC
Enumeration date
07/01/2008
Last updated
07/28/2009
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