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Individual

RALEIGH C. POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12 N THOMPSON ST, RICHMOND, VA 23221-2718
(804) 359-1337
(804) 358-9861
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101019333
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5631157
VA
Enumeration date
03/28/2006
Last updated
03/14/2022
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