POWELL, GLEN ELLIS JR - Licensee Information

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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT

POWELL, GLEN ELLIS JR

Practice Address:	CAROLINA COMPLETE HEALTH - CENTENE 1701 N GRAHAM ST STE 101, 102 CHARLOTTE NC 28206 Address last updated on 11/3/2023
Phone #:	(314) 725-4477
Fax #:
County:	NOT OKLAHOMA
License:	42623
Dated:	4/1/2024
Expires:	4/1/2025
License Type:	Medical Doctor
Specialty:	Obstetrics & Gynecology

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	UNIV OF LOUISVILLE SCH OF MED, LOUISVILLE KY 40202
Graduated:	5 / 2004
CME Year:	2027

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:	AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
CAROLINA COMPLETE HEALTH - CENTENE 1701 N GRAHAM ST STE 101, 102 CHARLOTTE NC 28206 Phone #: (314) 725-4477 Fax #: