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NPI Code Detail

MEDICARE: CHRISTOPHER R POWERS PA

MEDICARE:   CHRISTOPHER R POWERS  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0010-04880NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10010-04880OTHERNCNC LICENSE

General Provider Information

NPI Number : 1275566937
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER R POWERS PA
Provider Business Mailing Address
First Line : 4601 PARK RD
Second Line : SUITE 300
City : CHARLOTTE
State : NC
Zip : 28209-3239
Country : US
Telephone Number : 704-323-2000
Fax Number : 704-945-7681
Provider Business Practice Location Address
First Line : 15825 JOHN J DELANEY DR
Second Line : SUITE 100
City : CHARLOTTE
State : NC
Zip : 28277-3146
Country : US
Telephone Number : 704-323-3400
Fax Number : 704-323-3403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2006
Last Update Date : 11/26/2014

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Directions to “ CHRISTOPHER R POWERS PA” Practice Location

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