Individual
DR. OBIE M. POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(104) 504-8609
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(104) 504-8609
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
40147
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40147
STATE LICENSE
KY
Enumeration date
07/18/2006
Last updated
07/05/2023
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