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Individual

CRAIG C. POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2921 TELESTAR CT, SUITE 140, FALLS CHURCH, VA 22042-1205
(703) 280-5858
(703) 849-0874
Mailing address
DEPARTMENT OF SURGERY, 1100 SOUTH TUNNEL ROAD, ASHEVILLE, NC 28805
(828) 298-7911

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
51450
WI
208600000X
Surgery Physician
G88327
CA
2086S0129X
Vascular Surgery Physician
0101250486
VA
2086S0129X
Vascular Surgery Physician
Primary
51450-20
WI
2086S0129X
Vascular Surgery Physician
G88327
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100001925
WI
Enumeration date
02/10/2006
Last updated
01/22/2024
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