Individual
DEROK S CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
100 MEDICAL CENTER DR, SUITE 101, GADSDEN, AL 35903-1130
(256) 492-8590
(256) 492-4498
Mailing address
100 MEDICAL CENTER DR, SUITE 101, GADSDEN, AL 35903-1130
(256) 492-8590
(256) 492-4498
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AL
363AS0400X
Surgical Physician Assistant
PA- 885
AL
Other
Enumeration date
03/14/2006
Last updated
10/24/2016
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