Individual
MR. HUGH COLBY CORNELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
655 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3756
(770) 532-7092
(770) 536-0383
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN230883
GA
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP230883
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003208648A
—
GA
05
—
003208648B
—
GA
05
—
003208648C
—
GA
05
—
003208648D
—
GA
05
—
003208648E
—
GA
05
—
003208648F
—
GA
05
—
003208648G
—
GA
01
—
06083704
AMERIGROUP
GA
01
—
1710460
WELLCARE
GA
Enumeration date
08/06/2018
Last updated
10/30/2025
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