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Individual

DR. CREEL S CORNWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
120 MEDICAL PARK DR, SUITE 300, BRIDGEPORT, WV 26330-9012
(304) 624-7200
(304) 423-5208
Mailing address
120 MEDICAL PARK DR, SUITE 200, BRIDGEPORT, WV 26330-9012
(304) 624-7200
(304) 624-0026

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09342
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0087204000
WV
Enumeration date
06/26/2006
Last updated
03/27/2013
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