Individual
DR. VERTILIO MOISES CORNIELLE-CAAMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
228 W 4TH ST STE 200, COOKEVILLE, TN 38501-2489
(931) 372-0405
(931) 372-0406
Mailing address
228 W. 4TH ST., SUITE 200, COOKEVILLE, TN 38501
(931) 372-0405
(931) 372-0463
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55240
TN
207RC0000X
Cardiovascular Disease Physician
Primary
55240
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q027597
—
TN
Enumeration date
05/13/2013
Last updated
02/08/2024
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