Individual
MATTHEW EATON CORNWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4226
(984) 974-1000
Mailing address
24053 SAN GIOVANNI DR, LAND O LAKES, FL 34639-2901
(256) 679-1291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9411083
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
331636
NC
Other
Enumeration date
10/25/2020
Last updated
09/08/2021
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