Individual
BAYARD LOWERY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
25400
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14845
PARTNERS
—
05
—
1804352000
—
WV
01
—
29440
MEDCOST
—
01
—
5565097
AETNA
—
05
—
6058604
—
SC
05
—
6058604
—
VA
01
—
68641
BCBS
—
01
—
830008130
RR MEDICARE
—
05
—
8968641
—
NC
Enumeration date
12/01/2005
Last updated
10/21/2011
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