Individual
WILLIAM F CORNELISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
ONE FREEDOM WAY, VAMC 26, AUGUSTA, GA 30904-6285
(706) 733-0188
(478) 274-5844
Mailing address
2922 MAYFAIR CT, AUGUSTA, GA 30909-3516
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/24/2006
Last updated
03/11/2011
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