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Organization
POWELLS MEDICAL FACILITY
Active
Organization
POWELLS MEDICAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA POWELL (OFFICE MANAGER)
(910) 525-4062
Entity
Organization
Contact information
Practice address
201 W CLINTON ST, ROSEBORO, NC 28382
(910) 525-4062
Mailing address
PO BOX 988, ROSEBORO, NC 28382-0988
(910) 525-4062
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
223962
NC
Other
Enumeration date
08/22/2006
Last updated
04/29/2008
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