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Individual

DR. BRIAN PATRICK KORNRUMPF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
131 PROVIDENCE RD STE 200, CHARLOTTE, NC 28207-1206
(704) 749-5800
Mailing address
131 PROVIDENCE RD STE 200, CHARLOTTE, NC 28207-1206
(704) 749-5800

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2017-00327
NC
207L00000X
Anesthesiology Physician
50485
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12505164
CAQH
05
Q006438
TN
Enumeration date
05/21/2009
Last updated
02/20/2018
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