Individual
DONALD RAY CORNUTT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1072 WOODRUFF PLANTATION CT SE, MARIETTA, GA 30067-9100
(404) 354-0156
Mailing address
1072 WOODRUFF PLANTATION CT SE, MARIETTA, GA 30067-9100
(404) 354-0156
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
032896
GA
Other
Enumeration date
09/12/2005
Last updated
07/11/2023
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