Individual
CHRISTOPHER C CORNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1315 ROBERTS STREET, CAMDEN, SC 29020
(803) 432-4311
Mailing address
129 NORTH WASHINGTON STREET, SUMTER, SC 29150
(803) 774-8726
(803) 774-9846
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1851
SC
367500000X
Certified Registered Nurse Anesthetist
R66014
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1221
—
SC
01
—
P00054273
MEDICARE RR ID#
SC
Enumeration date
12/28/2005
Last updated
02/03/2022
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