Individual
DR. WILLIAM STEWART POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
141 TRYON RD, SUITE B, RUTHERFORDTON, NC 28139-3099
(828) 286-1445
(828) 286-1443
Mailing address
2234 COLONIAL BLVD, ATTN: MANAGED CARE DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
38411
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68686
BLUE CROSS BLUE SHIELD OF NORTH CAROLINA
NC
05
—
8968686
—
NC
01
—
P00940479
RAILROAD MEDICARE
NC
Enumeration date
06/23/2005
Last updated
07/18/2012
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