MEDICARE: ALEXANDRA N. POWELL, M.D., P.A.

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
1	2084P0800X	Psychiatry Physician	110991	NC

General Provider Information

NPI Number	:	1710133392
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDRA N. POWELL, M.D., P.A.

Provider Business Mailing Address
First Line	:	2020 W MAIN ST
Second Line	:	SUITE #20
City	:	DURHAM
State	:	NC
Zip	:	27705-4683
Country	:	US
Telephone Number	:	919-286-9100
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 W MAIN ST
Second Line	:	SUITE #20
City	:	DURHAM
State	:	NC
Zip	:	27705-4683
Country	:	US
Telephone Number	:	919-286-9100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALEXANDRA POWELL
Credential	:	M.D.
Telephone Number	:	919-286-9100

Provider Enumeration Date	:	08/14/2008
Last Update Date	:	08/14/2008

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