Individual
STUART LEE CORNWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
16 NORMAN ST APT D, CHARLESTON, SC 29403-5274
(843) 259-9812
Mailing address
16 NORMAN ST APT D, CHARLESTON, SC 29403-5274
(843) 259-9812
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
88955
SC
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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