Individual
DR. WILLIAM SULLIVAN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 583-0366
Mailing address
1075 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2248
(864) 583-7265
(864) 591-0422
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5096
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050964
—
SC
05
—
121328
—
SC
Enumeration date
07/07/2006
Last updated
07/09/2007
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