Individual
DR. EDGAR S CORNETT
Active
Individual
DR. EDGAR S CORNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19613
WV
261QU0200X
Urgent Care Clinic/Center
200100339
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002634000
—
WV
Enumeration date
09/13/2005
Last updated
01/23/2012
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