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Individual

DR. THOMAS WILLIAM POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
910 BERKSHIRE RD, SMITHFIELD, NC 27577-4751
(919) 989-7909
(919) 989-3147
Mailing address
131 E MARKET ST, SMITHFIELD, NC 27577-3915
(919) 934-5441
(919) 934-0152

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19387
NC
2086S0129X
Vascular Surgery Physician
Primary
19387
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8968862
NC
Enumeration date
06/17/2005
Last updated
11/15/2023
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