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Individual

WILLIAM THOMAS POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1532 SLATE CREEK RD, GRUNDY, VA 24614-6975
(276) 935-2080
(276) 935-2082
Mailing address
108 FAIRWAY DR, MARION, VA 24354-1600
(276) 783-6879

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101033664
VA
207R00000X
Internal Medicine Physician
2021-00846
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005845009
VA
05
005877083
VA
05
010141729
VA
01
110211269
RAILROAD MEDICARE
VA
01
110243993
RAILROAD MEDICARE
VA
01
167059
BLACK LUNG
VA
01
175190
ANTHEM
VA
05
1952386989
VA
01
22307403
WORKMEN'S COMP
VA
01
285168
VA BC/BS (ANTHEM)
VA
05
3810003039
WV
01
460860
ANTHEM
VA
05
64103146
KY
Enumeration date
12/13/2005
Last updated
04/13/2021
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