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1578743159
GLEN POWELL
CHARLOTTE, NC
NPI
1578743159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NC 2008-00406)
Enumeration Date
2007-11-12
Last Update Date
2020-03-02
Business Address
GLEN POWELL MD
101 E W T HARRIS BLVD STE 2320
CHARLOTTE, NC 28262-3485
Phone number: 704-547-0858
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Mailing Address
GLEN POWELL MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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