Individual
WILLIAM EDWIN POWELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 MATTHEW DR, STE A, WAYNESBORO, MS 39367-2567
(601) 735-2401
(601) 735-5205
Mailing address
920 MATTHEW DR, STE A, WAYNESBORO, MS 39367-2567
(601) 735-2401
(601) 735-5205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09594
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014356
—
MS
01
—
0130143
UNITED HEALTHCARE
MS
01
—
73007660POW
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
11/01/2005
Last updated
07/08/2007
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