Individual
DR. CORNELIUS L ALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
243 SINGLETON RIDGE RD, UNIT G, CONWAY, SC 29526-8391
(843) 347-1000
(843) 347-1001
Mailing address
243 SINGLETON RIDGE RD, UNIT G, CONWAY, SC 29526-8391
(843) 347-1000
(843) 347-1001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15330
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153309
—
SC
Enumeration date
07/06/2006
Last updated
12/10/2010
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