Provider Demographics
NPI:1861464935
Name:MAIER, MARK POWERS JR (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:POWERS
Last Name:MAIER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 751803
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1803
Mailing Address - Country:US
Mailing Address - Phone:336-764-2324
Mailing Address - Fax:336-764-9541
Practice Address - Street 1:12208 HWY 150 NORTH
Practice Address - Street 2:DBA ARCADIA FAMILY PRACTICE
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27127
Practice Address - Country:US
Practice Address - Phone:336-764-2324
Practice Address - Fax:336-764-9541
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC21821207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC53758OtherBCBS NC
NCP00398150OtherRAILROAD
NC8953758Medicaid
NC53758OtherBCBS NC
NCP00398150OtherRAILROAD
NC8953758Medicaid