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Individual

DR. EDDIE NELSON POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 BIRCH STREET, RAEFORD, NC 28376-2527
(910) 904-0648
(910) 875-9658
Mailing address
201 W CLINTON ST, ROSEBORO, NC 28382-6610
(910) 525-4062
(910) 525-5164

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
23962
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0230Y
BLUECROSS/BLUESHIELD PROV
NC
05
8968710
NC
Enumeration date
07/10/2006
Last updated
03/07/2023
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