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Individual

JOSEPH BURAN CORNETT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3949 BROWNING PL, RALEIGH, NC 27609-6504
(919) 787-8221
(919) 788-7904
Mailing address
PO BOX 19368, RALEIGH, NC 27619-9368
(919) 787-8221
(919) 789-4461

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
95-01207
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16-55347
UNITED HEALTHCARE
NC
01
16-55714
UNITED HEALTHCARE
NC
01
23980
BLUECROSS BLUESHIELD
NC
05
8923980
NC
01
89594
MEDCOST
NC
01
90412
MEDCOST
NC
01
C1086
MEDCOST
NC
Enumeration date
05/02/2006
Last updated
07/08/2007
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