Organization
DAVID H. CORNELL, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CORNELL M.D. (OWNER)
(404) 255-2855
Entity
Organization
Contact information
Practice address
993 JOHNSON FERRY RD NE, SUITE C225, ATLANTA, GA 30342-1620
(404) 255-2855
(404) 255-1284
Mailing address
993 JOHNSON FERRY RD NE, SUITE C225, ATLANTA, GA 30342-1620
(404) 255-2855
(404) 255-1284
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31897
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831297225
NPI (TYPE 1)
GA
Enumeration date
10/03/2011
Last updated
01/17/2012
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