Individual
DONALD R CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 INDEPENDENCE PLZ STE 600, HOMEWOOD, AL 35209-2659
(205) 709-1337
(205) 267-0220
Mailing address
1 INDEPENDENCE PLZ STE 600, HOMEWOOD, AL 35209-2659
(205) 709-1337
(205) 267-0220
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
00007394
AL
2084P0800X
Psychiatry Physician
Primary
MD.7394
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009968405
—
AL
01
—
51522658
BLUE CROSS
AL
Enumeration date
10/04/2005
Last updated
04/19/2022
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