Individual
ROBERT N POWELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102B MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 338-4117
Mailing address
102B MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 338-4117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16929
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16929
STATE MEDICAL LICENSE
NC
05
—
8968835
—
NC
Enumeration date
02/14/2006
Last updated
07/08/2007
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