Individual
DR. JOHN CRAIG CORNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1125 NEWTON ST, GRETNA, LA 70053-6339
(504) 361-3041
(504) 361-3005
Mailing address
1241 ESPLANADE AVE, NEW ORLEANS, LA 70116-1947
(504) 361-3041
(504) 361-3005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
07490R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376329
—
LA
Enumeration date
03/15/2007
Last updated
07/08/2007
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