Individual
CORNELIUS NESTORE VAN DAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 E WENDOVER AVE, SUITE 111, GREENSBORO, NC 27401-1230
(336) 832-7840
(336) 832-3285
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
2005-01197
NC
Other
Enumeration date
05/04/2007
Last updated
09/17/2021
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