Individual
CORNELIUS POWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
GME1000 BLYTHE BLVD., MEB, SUITE 157, CAROLINAS MEDICAL CENTER, CHARLOTTE, NC 28203-2861
(704) 446-9253
Mailing address
387 BOONESBORO RD, JOHNSON CITY, TN 37615-4206
(423) 943-5577
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
218133
NC
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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