Provider Demographics
NPI:1932311339
Name:POWELL, ALEXANDRA NEWLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:NEWLIN
Last Name:POWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 W MAIN ST
Mailing Address - Street 2:SUITE #20
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4683
Mailing Address - Country:US
Mailing Address - Phone:919-286-9100
Mailing Address - Fax:
Practice Address - Street 1:2020 W MAIN ST
Practice Address - Street 2:SUITE #20
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4683
Practice Address - Country:US
Practice Address - Phone:919-286-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC99-015942084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC131FJOtherBLUE CROSS BLUE SHIELD
NC131FJOtherBLUE CROSS BLUE SHIELD