Individual
JOHN GREGORY CORNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-4100
Mailing address
2208B REMINGTON CT, GREENVILLE, NC 27834-6710
(760) 534-8417
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
330439
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
0024190291
VA
Other
Enumeration date
02/09/2024
Last updated
06/11/2024
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