Individual
AMANDA BROOKE CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAA
Contact information
Practice address
11705 MERCY BLVD, SAVANNAH, GA 31419-1711
(912) 819-4100
Mailing address
1448 GROVE PARK DR, APT 1401, COLUMBUS, GA 31904-1594
(912) 224-2403
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
5183
GA
Other
Enumeration date
12/27/2007
Last updated
12/16/2022
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