| Mr Clark Alfred Powers, CRNA | |
|
142 S Main St, Danville, VA 24541-2922 | |
| (434) 799-2100 | |
| Not Available |
| Full Name | Mr Clark Alfred Powers |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 142 S Main St, Danville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275697021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 125990 (North Carolina) | Primary |
| Entity Name | Greensboro Anesthesia Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073772612 PECOS PAC ID: 8729129226 Enrollment ID: O20100106000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Clark Alfred Powers, CRNA 7984 Witty Rd, Summerfield, NC 27358-9553 Ph: (336) 432-2684 | Mr Clark Alfred Powers, CRNA 142 S Main St, Danville, VA 24541-2922 Ph: (434) 799-2100 |
Mr. Charles Denver Gill, C R N A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-799-2100 | |
Mr. John Michael Nulty Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-799-2226 | |
Mrs. Rebecca Lynn Whited, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-799-4411 | |
Michial James Largen Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-799-2375 | |
Mrs. Nan H Robillard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-799-2226 |