Individual
MATTHEW THOMAS CORNFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11766 HIGHWAY 27, SUMMERVILLE, GA 30747-5989
(706) 857-1010
(706) 857-5638
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
(706) 509-3000
(706) 295-3271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
057356
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396889285A
—
GA
Enumeration date
07/05/2006
Last updated
02/26/2026
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