Powell, David Timothy

Powell, David Timothy is an individual health care provider with primary practice located at 1210 W Faris Rd , Greenville SC 29605-4444. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Powell, David Timothy can be contacted via phone (864) 522-1800.

Contact Information

Primary practice address
1210 W Faris Rd Greenville SC 29605-4444
Fax: (864) 522-1806
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 38608 South Carolina
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 38608 South Carolina

Profile Details

NPI number 1639499197
LBN Legal business name Powell, David Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2010
Last updated Nov 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639499197 NPPES
South Carolina MEDICAID 386086

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