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Individual

SCOTT L. CORNELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1830 S HAWTHORNE RD, WINSTON SALEM, NC 27103
(336) 448-2427
(336) 765-2869
Mailing address
1830 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4014
(336) 448-2427
(336) 765-2869

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101258292
VA
207RG0100X
Gastroenterology Physician
Primary
201802617
NC

Other

Enumeration date
04/09/2012
Last updated
11/27/2023
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