Individual
DR. O HENDERSON POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7033 ST ANDREWS RD STE 305, COLUMBIA, SC 29212-1179
(803) 749-9920
Mailing address
2720 SUNSET BLVD, ATTN CREDENTIALING, WEST COLUMBIA, SC 29169-4810
(803) 936-7679
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7488
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074886
—
SC
Enumeration date
08/11/2006
Last updated
08/24/2012
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