Individual
NORMAN I KORNBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
3666 HIGHWAY 5, STE 101, DOUGLASVILLE, GA 30135-6940
(770) 942-3668
(770) 920-9675
Mailing address
3666 HIGHWAY 5, STE 101, DOUGLASVILLE, GA 30135-6940
(770) 942-3668
(770) 920-9675
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
553
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000344957A
—
GA
Enumeration date
05/24/2005
Last updated
10/14/2008
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