Individual
CHERIE TREVINO CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 WEST AVE, NORTH AUGUSTA, SC 29841-3620
(803) 202-0202
(803) 202-0201
Mailing address
420 WEST AVE, NORTH AUGUSTA, SC 29841-3620
(803) 202-0202
(803) 202-0201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2202
SC
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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