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Individual

DR. HERVY BASIL KORNEGAY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2604 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9417
(919) 580-0004
(919) 580-9099
Mailing address
2604 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9417
(919) 580-0004
(919) 580-9099

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9600255
NC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
9600255
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043M
BLUE CROSS BLUE SHIELD
05
8949939
NC
Enumeration date
06/17/2005
Last updated
06/05/2024
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