Individual
DONALD R CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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