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Individual
WILLIAM INGRAM POWELL IV
Active
Individual
WILLIAM INGRAM POWELL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79098
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MP011213
NC MEDICAL BOARD REGISTRA
NC
Enumeration date
02/15/2007
Last updated
07/09/2007
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