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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ANTONIO DEMETRIUS POWELL SR.

Active Sole Proprietor

MR. ANTONIO DEMETRIUS POWELL SR. is a Home Health healthcare provider located in TIMBERLAKE, North Carolina. NPI 1467314658 is currently active in the NPPES registry. Verify at CMS.

Home Health · TIMBERLAKE, NC

Registration Details

NPI Number
1467314658
Provider Type
Individual
Gender
Male
NPI Issued
Nov 26, 2025 (0.71590833305911 yrs)
Last Updated
Nov 26, 2025
License
000007168003 (NC)
Sole Proprietor
Yes

Practice Information

Address
90 BLACKGUM DR
TIMBERLAKE, NC, 275838861
Browse NC providers · Browse ZIP 27583
Phone
9193961716
Primary Specialty
Home Health
251E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.