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Individual

DR. TAYLOR CHRISTIAN POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
83401
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
834011
SC
01
MD026238
STATE MEDICAL LISCENSE
LA
01
TP996
TEMPORARY KENTUCKY LICENS
KY
Enumeration date
09/25/2006
Last updated
05/02/2024
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