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Individual
CORI BANERDT
Active
Individual
CORI BANERDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
65472
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q076764
—
TN
Enumeration date
04/25/2016
Last updated
07/22/2025
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