Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 26859 | NC |
NPI | 1003869298 |
---|---|
Provider Name | Dr. Hugh M Powell JR. |
First Address | Cary, NC 27518-8101 |
Second Address | Cary, NC 27518-8101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 16/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8968740 | (05) | NC |
F47019 | (02) |