Provider Demographics
NPI:1588682355
Name:POWELL, MARCY STEPHENS (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARCY
Middle Name:STEPHENS
Last Name:POWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:209 EAST CARVER STREET
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704
Mailing Address - Country:US
Mailing Address - Phone:919-471-2273
Mailing Address - Fax:919-479-0881
Practice Address - Street 1:209 EAST CARVER STREET
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704
Practice Address - Country:US
Practice Address - Phone:919-471-2273
Practice Address - Fax:919-479-0881
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200600914207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC512654OtherWELLPATH
NC562142486OtherBEECHSTREET
NC144H3OtherBCBS
NC2156155OtherUHC
NC562142486OtherAETNA
NC194446OtherMEDCOST
NC3835244OtherCIGNA